Active NPI
Akia Shauaan Maddox
- Professional Counselor
- Columbus, GA
National Provider Identifier
1346748449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC009409
- Practice address
- 2325 Brookstone Centre Pkwy
Columbus, GA 31904-4500 - Phone
- (706) 653-6841
- Fax
- (706) 653-7843
- NPI assigned
- Jan 24, 2018
- 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 | LPC009409 | GA | Primary |
Addresses
Primary practice location
2325 Brookstone Centre Pkwy
Columbus, GA 31904-4500
Mailing address
2325 Brookstone Centre Pkwy
Columbus, GA 31904-4500
Phone (706) 653-6841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003213855A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC009409 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Psychological Associates, LLP | Current | Accepting new patients | |
| Enj Counseling, LLC | Past | Accepting new patients | |
| Jasmine Naheed, MDPC, LLC | Past | Accepting new patients | |
| Columbus Psychological Assoc. | Professional | Past | Accepting new patients |
Locations
2325 Brookstone Centre Pkwy
Columbus, GA 31904
Phone (706) 653-6841
Organizations & group practices 4
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.
-
- Psychologist
- Columbus, GA
- NPI 1073540589
-
- Professional Counselor
- Columbus, GA
- NPI 1376874214
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lagrange, GA
- NPI 1902320542
-
- Psychiatry Physician
- Lagrange, GA
- NPI 1952602823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595894400000",
"number": "1346748449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2325 BROOKSTONE CENTRE PKWY",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319044500",
"telephone_number": "706-653-6841",
"fax_number": "706-653-7843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 BROOKSTONE CENTRE PKWY",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319044500",
"telephone_number": "706-653-6841",
"fax_number": "706-653-7843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDOX",
"first_name": "AKIA",
"middle_name": "SHAUAAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-24",
"last_updated": "2020-07-28",
"certification_date": "2020-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC009409",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003213855A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.