Individual provider Active NPI

Jackie Dunagan, LMFT

  • Marriage & Family Therapist
  • Dawsonville, GA
National Provider Identifier
1942657580
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001616 Issued in GA
Practice address
52 Fieldstone CT E
Dawsonville, GA 30534-0765
Phone
(678) 343-0790
NPI assigned
May 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT001616 GA Primary

Addresses

Primary practice location

52 Fieldstone CT E
Dawsonville, GA 30534-0765

Mailing address

52 Fieldstone CT E
Dawsonville, GA 30534-0765
Phone (678) 343-0790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 18, 2024 through Mar 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFT001616GAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1942657580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 FIELDSTONE CT E",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305340765",
            "telephone_number": "678-343-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 FIELDSTONE CT E",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305340765",
            "telephone_number": "678-343-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNAGAN",
        "first_name": "JACKIE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dawsonville, GA

Sources for this page

Verify at the official NPI Registry.