Active NPI
Simone Sharlotte Murray, LCSW
- Clinical Social Worker
- Augusta, GA
National Provider Identifier
1750047650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW009217
- Practice address
- 1941 Phinizy Rd
Augusta, GA 30906-5173 - Phone
- (706) 846-3631
- NPI assigned
- Nov 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | GA | ||
| Clinical Social Worker | 1041C0700X | CSW009217 | GA | Primary |
Addresses
Primary practice location
1941 Phinizy Rd
Augusta, GA 30906-5173
Mailing address
2310 Prescott PL
Hephzibah, GA 30815-7603
Phone (203) 800-1522
Other practice location 1
1226 Dantignac St
Augusta, GA 30901-2788
Phone (706) 366-1466
Other names 1
- Mrs. Simone Sharlotte Davis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW009217 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Focus Faith, LLC | Current | Accepting new patients | |
| Georgia Family Crisis Solutions | Past | Accepting new patients |
Locations
4145 Columbia Rd
Martinez, GA 30907
Phone (706) 524-3690
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.
-
- Community/Behavioral Health Agency
- Martinez, GA
- NPI 1861130932
-
- Professional Counselor
- Martinez, GA
- NPI 1164637773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1750047650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 PRESCOTT PL",
"city": "HEPHZIBAH",
"state": "GA",
"postal_code": "308157603",
"telephone_number": "203-800-1522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1941 PHINIZY RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309065173",
"telephone_number": "706-846-3631"
}
],
"practiceLocations": [
{
"address_1": "1226 Dantignac St",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309012788",
"country_code": "US",
"telephone_number": "706-366-1466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MURRAY",
"first_name": "SIMONE",
"middle_name": "SHARLOTTE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-15",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW009217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SIMONE",
"last_name": "DAVIS",
"middle_name": "SHARLOTTE",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.