Individual provider Active NPI

Ann S Priddy, LCSW LMFT

  • Clinical Social Worker
  • Albany, GA
National Provider Identifier
1982688198
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
01337 Issued in GA
Practice address
2925 Ledo Rd Ste 1
Albany, GA 31707-1267
Phone
(229) 483-5050
Fax
(229) 485-1103
NPI assigned
Dec 1, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000257 GA
Clinical Social Worker 1041C0700X 01337 GA Primary

Addresses

Primary practice location

2925 Ledo Rd Ste 1
Albany, GA 31707-1267

Mailing address

2925 Ledo Rd Ste 1
Albany, GA 31707-1267
Phone (229) 483-5050

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
I20111220000704 GA Practitioner - Clinical Social Worker 8426224569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2925 Ledo Rd
Suite 1
Albany, GA 31707-1267
Phone (229) 483-5050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01337GAMDClinical Social Worker
000257GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ann Priddy LCSW PC CurrentSince Feb 23, 2001 Accepting new patients
The Renaissance Centre, Inc. CurrentSince Nov 2, 1992 Accepting new patients

Locations

2925 Ledo Rd
Ste 1
Albany, GA 31707
Phone (229) 483-5050

506 N Jackson St
Albany, GA 31701
Phone (229) 889-7200

1511 W 3rd Ave
Ste 104
Albany, GA 31707
Phone (229) 483-5050

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.

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1982688198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 LEDO RD STE 1",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317071267",
            "telephone_number": "229-483-5050",
            "fax_number": "229-485-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 LEDO RD STE 1",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317071267",
            "telephone_number": "229-483-5050",
            "fax_number": "229-485-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIDDY",
        "first_name": "ANN",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LCSW LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "000257",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "01337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.