Active NPI
Angela Weadon, MM, LPMT, MT-BC
- Music Therapist
- Decatur, GA
National Provider Identifier
1366741167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- MUT000038
- Practice address
- 308 Clairemont Ave
Ste S-324
Decatur, GA 30030-2506 - Phone
- (678) 664-4992
- Fax
- (678) 403-0344
- NPI assigned
- Mar 18, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Music Therapist | 225A00000X | MUT000038 | GA | Primary |
Addresses
Primary practice location
308 Clairemont Ave
Ste S-324
Decatur, GA 30030-2506
Mailing address
308 Clairemont Ave
Ste S-324
Decatur, GA 30030-2506
Phone (678) 664-4992
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 |
|---|---|---|---|
| MUT000038 | GA | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1366741167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 CLAIREMONT AVE",
"address_2": "STE S-324",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302506",
"telephone_number": "678-664-4992",
"fax_number": "678-403-0344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 CLAIREMONT AVE",
"address_2": "STE S-324",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302506",
"telephone_number": "678-664-4992",
"fax_number": "678-403-0344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEADON",
"first_name": "ANGELA",
"credential": "MM, LPMT, MT-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-18",
"last_updated": "2022-08-18",
"certification_date": "2022-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "GA",
"license": "MUT000038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.