Individual provider Active NPI

Macy Preston

  • Clinical Social Worker
  • Villa Rica, GA
National Provider Identifier
1891482790
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW008398 Issued in GA
Practice address
101 Quartz Dr Ste 103a
Villa Rica, GA 30180-3201
Phone
(770) 812-8863
Fax
(770) 812-3805
NPI assigned
Apr 20, 2023
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW008398 GA Primary

Addresses

Primary practice location

101 Quartz Dr Ste 103a
Villa Rica, GA 30180-3201

Mailing address

100 Greenway Blvd Box C
Carrollton, GA 30117

Other practice location 1

2713 Charles Hardy Pkwy Ste 223
Dallas, GA 30157-9470
Phone (855) 284-7483

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
I20230505000262 GA Practitioner - Clinical Social Worker 0941665483 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Nov 1, 2023 Accepting new patients
TMC-Behavioral Health of West Georgia CurrentSince Nov 30, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

100 Greenway Blvd
Ste C
Carrollton, GA 30117
Phone (770) 838-8710

101 Doctors Dr
Carrollton, GA 30117
Phone (770) 812-8863

101 Quartz Dr
Ste 103A
Villa Rica, GA 30180
Phone (770) 812-3598

101 Quartz Dr
Ste 103B
Villa Rica, GA 30180
Phone (770) 812-3580

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1891482790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GREENWAY BLVD BOX C",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "30117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 QUARTZ DR STE 103A",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301803201",
            "telephone_number": "770-812-8863",
            "fax_number": "770-812-3805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2713 Charles Hardy Pkwy Ste 223",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "GA",
            "postal_code": "301579470",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "fax_number": "617-807-0958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "MACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Rica, GA

Sources for this page

Verify at the official NPI Registry.