Active NPI
Gail Lauren Weldon, MA, APC,
- Professional Counselor
- Pooler, GA
National Provider Identifier
1336896901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APC008277
- Practice address
- 138 Canal St Ste 506
Pooler, GA 31322-4049 - Phone
- (912) 623-4320
- Fax
- (912) 525-2300
- NPI assigned
- Mar 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APC008277 | GA | Primary |
Addresses
Primary practice location
138 Canal St Ste 506
Pooler, GA 31322-4049
Mailing address
138 Canal St Ste 506
Pooler, GA 31322-4049
Phone (912) 623-4320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC008277 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Professional | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646265600000",
"number": "1336896901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 CANAL ST STE 506",
"city": "POOLER",
"state": "GA",
"postal_code": "313224049",
"telephone_number": "912-623-4320",
"fax_number": "912-525-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 CANAL ST STE 506",
"city": "POOLER",
"state": "GA",
"postal_code": "313224049",
"telephone_number": "912-623-4320",
"fax_number": "912-525-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELDON",
"first_name": "GAIL",
"middle_name": "LAUREN",
"name_prefix": "Mrs.",
"credential": "MA, APC,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-03",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "GA",
"license": "APC008277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pooler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.