Individual provider Active NPI

Jeffrey Eugene Atkinson, LPC

  • Professional Counselor
  • Ellijay, GA
National Provider Identifier
1780785832
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC2621 Issued in GA
Practice address
489 Highland Xing Ste 102
Ellijay, GA 30540-9714
Phone
(678) 467-7922
Fax
(678) 802-6400
NPI assigned
Sep 25, 2006
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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 LPC2621 GA Primary

Addresses

Primary practice location

489 Highland Xing Ste 102
Ellijay, GA 30540-9714

Mailing address

489 Highland Xing Ste 102
Ellijay, GA 30540-9714
Phone (678) 467-7922

Other identifiers 1

IdentifierTypeStateIssuer
596557248AMedicaidGA

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
I20240522002341 GA Practitioner - Mental Health Counselor 2961844972 Practice locations: Ellijay, GA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

64 Sailors Dr
Suite 116
Ellijay, GA 30540-3744
Phone (678) 467-7922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC2621GAMDProfessional Counselor
2621GAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1780785832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 HIGHLAND XING STE 102",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305409714",
            "telephone_number": "678-467-7922",
            "fax_number": "678-802-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 HIGHLAND XING STE 102",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305409714",
            "telephone_number": "678-467-7922",
            "fax_number": "678-802-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "JEFFREY",
        "middle_name": "EUGENE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC2621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "596557248A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellijay, GA

Sources for this page

Verify at the official NPI Registry.