Active NPI
Erika Malaisha Sledge, LPC
- Professional Counselor
- Port Wentworth, GA
National Provider Identifier
1508372301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC009963
- Practice address
- 14 Dogwood Cir
Port Wentworth, GA 31407-3333 - Phone
- (912) 223-6032
- NPI assigned
- Dec 17, 2017
- Last updated
- Apr 19, 2023
- Sex
- Female
- Sole proprietor
- No
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 | LPC009963 | GA | Primary |
Addresses
Primary practice location
14 Dogwood Cir
Port Wentworth, GA 31407-3333
Mailing address
14 Dogwood Cir
Port Wentworth, GA 31407-3333
Phone (912) 223-6032
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC009963 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Current | Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
| Cartwheel Health Services PC | Professional | Past | Accepting new patients |
Locations
8800 Roswell Rd
Ste A135
Sandy Springs, GA 30350
Phone (617) 395-5806
1800 Lake Park Dr SE
Ste 123
Smyrna, GA 30080
Phone (404) 720-9800
Interoperability endpoints
- erikasledge@tdh.allscriptsdirect.net
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.
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- NPI 1245403567
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- NPI 1912633975
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1508372301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 DOGWOOD CIR",
"city": "PORT WENTWORTH",
"state": "GA",
"postal_code": "314073333",
"telephone_number": "912-223-6032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 DOGWOOD CIR",
"city": "PORT WENTWORTH",
"state": "GA",
"postal_code": "314073333",
"telephone_number": "912-223-6032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLEDGE",
"first_name": "ERIKA",
"middle_name": "MALAISHA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-17",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC009963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Wentworth, GA
- Pruitthealth - Seaside, LLC (PruittHealth - Seaside)
- Publix Super Markets Inc (Publix Pharmacy #1256)
- Benjamin Lane Richey, RBT
- S&S Unique Transportation, LLC
- Shkendije Shabani
- Felicia Smith, LPC
- Leandra Danielle Solis
- Chanice Dori-Ann Sylvestre
- The Compassion Center for Counseling PLLC
- Therapies and Beyond, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.