Individual provider Active NPI

Edward Wayne Minor, LCSW

  • Clinical Social Worker
  • Savannah, GA
National Provider Identifier
1386999399
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW002569 Issued in GA
Practice address
313 E 53Rd St
Savannah, GA 31405-3410
Phone
(912) 232-0951
NPI assigned
Jul 16, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW002569 GA Primary

Addresses

Primary practice location

313 E 53Rd St
Savannah, GA 31405-3410

Mailing address

313 E 53Rd St
Savannah, GA 31405-3410
Phone (912) 232-0951

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120801000794 GA Practitioner - Clinical Social Worker 5597911800 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heritage Counseling, IncGroup PAC ID 1759674823, 2 clinicians
Carenow Services, LLCGroup PAC ID 2163561259, 36 clinicians

Practice addresses (Care Compare)

1009 N Columbia Ave
Rincon, GA 31326-6828
Phone (912) 657-9613

401 Bombay LN
Roswell, GA 30076-5826
Phone (770) 664-1920

Merit-based Incentive Payment System (MIPS)

Final score
49.38 of 100Reported as group
Quality
4.35
Promoting interoperability
0
Improvement activities
40
Cost
76.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW002569GAMDClinical Social Worker
2569GAMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Counseling, Inc CurrentSince Jul 8, 2016 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Jan 9, 2023 Accepting new patients
Carenow Services, LLC CurrentSince Jun 26, 2012 Accepting new patients
Heritage Counseling Past Accepting new patients

Locations

3348 Peachtree Rd NE
Ste 700
Atlanta, GA 30326
Phone (720) 712-7900

1009 N Columbia Ave
Rincon, GA 31326
Phone (912) 572-5261

901 Bombay Ln
Roswell, GA 30076
Phone (770) 664-1920

401 Bombay Ln
Roswell, GA 30076
Phone (770) 664-1920

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, 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": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1386999399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 E 53RD ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053410",
            "telephone_number": "912-232-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 E 53RD ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053410",
            "telephone_number": "912-232-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOR",
        "first_name": "EDWARD",
        "middle_name": "WAYNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.