Stephanie Davidson, EDD, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

122 Northview Dr NW
Calhoun, GA 30701-8519

Phone

(706) 844-7956

Fax

(770) 995-1959

NPI assigned

Nov 24, 2019

Sex

Female

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

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

Specialty

Mental Health Counselor

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psychiatry and Wellness of Georgia, LLCGroup PAC ID 7810351608, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Davidson Counseling LLC

  • Professional Counselor
  • Rome, GA
  • NPI 1699442897
  Medicare reassignment NPD Authorized official
• Psychiatry and Wellness of Georgia, LLC

  • Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
  • Roswell, GA
  • NPI 1528774916
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1574553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1679119796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 NORTHVIEW DR NW",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307018519",
            "telephone_number": "706-844-7956",
            "fax_number": "770-995-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 NORTHVIEW DR NW",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307018519",
            "telephone_number": "706-844-7956",
            "fax_number": "770-995-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "EDD, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-24",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Culbertson, PA-C
• Nathaniel Todd Cunningham, PT, DPT
• Jenna M Darby, MSN, FNP
• Wayne N Darville, M.D.
• Baret Daugherty, PT
• Hope Elizabeth Davis, WHNP-BC
• Nichole Davis, CSFA
• Rochelle Lynn Davis, DC
• Tygeana A Davis, PT, DPT
• Dca of Calhoun LLC

• Professional Counselor in Calhoun, GA
• Providers in Calhoun, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.