Cally Taylor Short, APC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

APC006996 Issued in GA

Practice address

2850 Old Alabama Rd
Johns Creek, GA 30022-5051

Phone

(678) 893-5300

NPI assigned

Jul 28, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Summit Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • Johns Creek, GA
  • NPI 1477761633
  NPD (past)

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

{
    "created_epoch": "1564272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1487208575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 PLEASANT WAY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300283754",
            "telephone_number": "706-429-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 OLD ALABAMA RD",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300225051",
            "telephone_number": "678-893-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "CALLY",
        "middle_name": "TAYLOR",
        "name_prefix": "Mrs.",
        "credential": "APC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-28",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC006996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cshort@summitcounseling.org",
            "affiliation": "Y",
            "endpointDescription": "work/business email",
            "affiliationName": "The Summit Counseling Center, Inc.",
            "address_1": "2750 Old Alabama Rd",
            "address_2": "Suite 200",
            "city": "Johns Creek",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300228593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• On Joong Shin, D.C./L.AC.
• Kaveh Shokoufi Moghiman, D.M.D
• Christopher Ross Sholota, DDS
• Basirat Oladunni Shomuyiwa
• David R. Shore, RPH.
• Sabrin Nur Shufa
• Wanda Shull
• Eve Shumate, LAPC
• Amanda Walker Sing
• Narendra Singh, MD

• Professional Counselor in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.