Active NPI
Peter K Adzudzor, MA
- Professional Counselor
- Marietta, GA
National Provider Identifier
1417338013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 127 Church St NE
Suite 350
Marietta, GA 30060-8637 - Phone
- (404) 828-0087
- NPI assigned
- Jun 9, 2015
- Last updated
- Jun 9, 2015
- Sex
- Male
- 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 | NU | Primary |
Addresses
Primary practice location
127 Church St NE
Suite 350
Marietta, GA 30060-8637
Mailing address
3540 Garden Mist Cir
Auburn, GA 30011-2375
Phone (678) 201-8859
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433808000000",
"number": "1417338013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3540 GARDEN MIST CIR",
"city": "AUBURN",
"state": "GA",
"postal_code": "300112375",
"telephone_number": "678-201-8859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 CHURCH ST NE",
"address_2": "SUITE 350",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300608637",
"telephone_number": "404-828-0087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADZUDZOR",
"first_name": "PETER",
"middle_name": "K",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-09",
"last_updated": "2015-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
- Advanced Rehabilitation Services Inc
- Advanced Surgical Group of NW Ga
- Advanced Urology Institute of Georgia, LLC
- Advanta Medical & Physical Therapy
- Advanta Medical & Physical Therapy PC (Advanta Total Health)
- Aegis Group Practice LLC
- Aegis Group Practice LLC
- Afc Physicians of Georgia Urgent Care, PC
- Afc Physicians of Georgia, PC (AFC Physicians of GA, PC)
- Affordable Medical Resources, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.