Dwayne Cowles Wright, MS, MED, PHD

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

4210 Columbia Rd
Martinez, GA 30907-0401

Phone

(706) 364-6576

NPI assigned

Sep 29, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education, Master of Science, Doctor of Philosophy

Practice roles

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.

• D. W. de Vose & Associates, LLC

  • Mental Health Counselor
  • Martinez, GA
  • NPI 1174139133
  NPD (past)

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1629792932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3874 APPALOOSA TRL",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301357206",
            "telephone_number": "216-262-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 COLUMBIA RD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309070401",
            "telephone_number": "706-364-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "DWAYNE",
        "middle_name": "COWLES",
        "name_prefix": "Dr.",
        "credential": "MS, MED, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgette Olivia Woodard, CCC-SLP
• Portia Monique Woodard
• Leonox Wortham
• Shaquanda Worthen
• Demetria Wright
• Patricia Wright
• Sarah Ann Wright, PT
• Dontavius Wyman
• Derrick York
• Alicia Yoshimoto, BCBA

• Counselor in Martinez, GA
• Providers in Martinez, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.