Individual provider Active NPI

George James Bravakis, LMSW

  • Addiction (Substance Use Disorder) Counselor
  • Pickens, SC
National Provider Identifier
1386886091
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
309 E Main St
Pickens, SC 29671-2319
Phone
(864) 898-5800
Fax
(864) 898-5800
NPI assigned
Mar 26, 2009
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X SC Primary
Clinical Social Worker 1041C0700X 5461 SC

Addresses

Primary practice location

309 E Main St
Pickens, SC 29671-2319

Mailing address

309 E Main St
Pickens, SC 29671-2319
Phone (864) 898-5800

Other practice location 1

112 Sugar Creek Rd
Greer, SC 29650-3021
Phone (864) 906-1043

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

LicenseStateTypeSpecialty
5461SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pickens County Commission on Alcohol & Drug Abuse CurrentSince Apr 28, 2024 Accepting new patients
Pickens County Commission on Alcohol & Drug Abuse PastSince Dec 6, 2020 Accepting new patients
State-Bound Treatment Services LLC. Clinical Past Accepting new patients

Locations

309 E Main St
Pickens, SC 29671
Phone 3306395336 ext. 33063

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1386886091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E MAIN ST",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296712319",
            "telephone_number": "864-898-5800",
            "fax_number": "864-898-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E MAIN ST",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296712319",
            "telephone_number": "864-898-5800",
            "fax_number": "864-898-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Sugar Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296503021",
            "country_code": "US",
            "telephone_number": "864-906-1043",
            "fax_number": "864-268-3364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAVAKIS",
        "first_name": "GEORGE",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-26",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "5461",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickens, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.