Individual provider Active NPI

Donald Gilbert Cherms Sr., PH.D

  • Counseling Psychologist
  • Newnan, GA
National Provider Identifier
1568644615
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Practice address
3025 Highway 154
Newnan, GA 30265-6121
Phone
(470) 955-6171
NPI assigned
Nov 30, 2007
Last updated
Apr 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 104571-CBCCDC CA
Pastoral Counselor 101YP1600X
Professional Counselor 101YP2500X C0911091703 CA
Counseling Psychologist 103TC1900X Primary

Addresses

Primary practice location

3025 Highway 154
Newnan, GA 30265-6121

Mailing address

19 Rayner Dr
Newnan, GA 30265-1984
Phone (470) 955-6171

Other practice location 1

110 Newnan Lakes Blvd
Newnan, GA 30263-5770
Phone (470) 955-6171

Other identifiers 2

IdentifierTypeStateIssuer
104571OtherCACALIFORNIA CERTIFICATION BOARD OF CHEMICAL DEPENDENCY COUNSELORS
23783OtherGALPCA

Other names 1

  • Dr. Donald Gilbert Cherms Sr. Professional name

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
104571-CBCCDCCAMDAddiction (Substance Use Disorder) Counselor
C0911091703CAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1568644615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 RAYNER DR",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651984",
            "telephone_number": "470-955-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 HIGHWAY 154",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656121",
            "telephone_number": "470-955-6171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Newnan Lakes Blvd",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302635770",
            "country_code": "US",
            "telephone_number": "470-955-6171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERMS",
        "first_name": "DONALD",
        "middle_name": "GILBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-30",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "104571-CBCCDC",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "C0911091703",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA CERTIFICATION BOARD OF CHEMICAL DEPENDENCY COUNSELORS",
            "identifier": "104571",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPCA",
            "identifier": "23783",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONALD",
            "last_name": "CHERMS",
            "middle_name": "GILBERT",
            "prefix": "DR.",
            "suffix": "SR.",
            "credential": "PH.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.