Individual provider Active NPI

Gay M. Gragson

  • Clinical Social Worker
  • Athens, GA
National Provider Identifier
1447680996
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005037 Issued in GA
Practice address
598 S Milledge Ave
Athens, GA 30605-1262
Phone
(706) 353-0709
Fax
(706) 549-3167
NPI assigned
Nov 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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 CSW005037 GA Primary

Addresses

Primary practice location

598 S Milledge Ave
Athens, GA 30605-1262

Mailing address

598 S Milledge Ave
Suite 5
Athens, GA 30605-1262
Phone (706) 353-0709

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
I20140424002202 GA Practitioner - Clinical Social Worker 6709019805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

598 S Milledge Ave
Suite 5
Athens, GA 30605-1262
Phone (706) 540-2313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
GMG Counseling, LLC Clinical CurrentSince Aug 18, 2015 Accepting new patients

Locations

598 S Milledge Ave
Ste 5
Athens, GA 30605
Phone (706) 353-0709

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1447680996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 S MILLEDGE AVE",
            "address_2": "SUITE 5",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306051262",
            "telephone_number": "706-353-0709",
            "fax_number": "706-549-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 S MILLEDGE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306051262",
            "telephone_number": "706-353-0709",
            "fax_number": "706-549-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAGSON",
        "first_name": "GAY",
        "middle_name": "M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-20",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.