Individual provider Active NPI

Abby McGilvray

  • Professional Counselor
  • Pooler, GA
National Provider Identifier
1598306706
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
010707 Issued in GA
Practice address
138 Canal St Ste 506
Pooler, GA 31322-4049
Phone
(912) 421-1890
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 010707 GA Primary

Addresses

Primary practice location

138 Canal St Ste 506
Pooler, GA 31322-4049

Mailing address

138 Canal St Ste 506
Pooler, GA 31322-4049

Other identifiers 1

IdentifierTypeStateIssuer
010707OtherGALICENSE

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
I20251010003001 GA Practitioner - Mental Health Counselor 2961909213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Psychological Services, LLCGroup PAC ID 1759428063, 8 clinicians

Practice addresses (Care Compare)

9757 Blue Ridge Dr
Blue Ridge, GA 30513-4167
Phone (706) 455-2490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010707GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Psychological Services, LLC CurrentSince Jul 28, 2025 Accepting new patients
Vogt Family Group LLC Professional PastSince Oct 6, 2019 Accepting new patients

Locations

9757 Blue Ridge Dr
Blue Ridge, GA 30513
Phone (706) 455-2490

Organizations & group practices 2

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": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1598306706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 CANAL ST STE 506",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 CANAL ST STE 506",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224049",
            "telephone_number": "912-421-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILVRAY",
        "first_name": "ABBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "010707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "010707",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

Verify at the official NPI Registry.