Kristina Delegal

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

189 N Brunswick St
Jesup, GA 31546-4377

Phone

(912) 530-8889

NPI assigned

Sep 12, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Anchored in Wellness, LLC

  • Clinical Social Worker
  • Jesup, GA
  • NPI 1174996847
  NPD

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1689400889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5334 ODUM RD S",
            "city": "SCREVEN",
            "state": "GA",
            "postal_code": "315608733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 N BRUNSWICK ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315464377",
            "telephone_number": "912-530-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEGAL",
        "first_name": "KRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Darden Darden-Rivers, CPT
• David L Rainiero, M.D., P.C.
• Edwin Faine Davis Jr., D.C.
• Holly M. Davis
• Ryan Clifford Davis
• Stacy Delo
• Gavin Heath Denmark, PA-C
• Kyle Steven Deuter, PA-C
• Diabetes Center of Jesup LLC
• Michael Jeffrey Wildenberg Diamant, M.D.

• All providers in Jesup, GA
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.