Edith Byrd, LPC007444

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC007444 Issued in GA

Practice address

15 Perry St
Newnan, GA 30263-1918

Phone

(678) 423-3200

Fax

(770) 683-3029

NPI assigned

Feb 27, 2015

Last updated

Aug 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edithbyrd@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Byrd House-Behavioral Youth Resource Development, Inc

  • Community/Behavioral Health Agency
  • Newnan, GA
  • NPI 1619208519
  Medicare reassignment NPD Authorized official
• African American Task Force for Substance Abuse Prevention

  dba Byrd House

  • Counseling Psychologist
  • Newnan, GA
  • NPI 1952562605
  NPD (past) Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Professional

  NPD

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1891187829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72001",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302712001",
            "telephone_number": "678-423-3200",
            "fax_number": "770-683-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PERRY ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631918",
            "telephone_number": "678-423-3200",
            "fax_number": "770-683-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "EDITH",
        "name_prefix": "Mrs.",
        "credential": "LPC007444",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-27",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003150243A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christy L Butler
• Arianna Nichole Buuck, PT, DPT
• Jaselle Janee Bynum, MS, BCBA, LBA
• Byrd House-Behavioral Youth Resource Development, Inc
• Devin Marie Byrd, RBT
• Kayla Byrd, DPT
• C & B Corporation (Hospital Discount Drugs)
• Luis Mariano Cabrera Hernandez, MD
• Wanda S Cager, LAPC
• Brent Nicolas Calder, RPH, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.

Verify at the official NPI Registry.