Active NPI
Neshika L Coney-Devine
- Mental Health Counselor
- Martinez, GA
National Provider Identifier
1992576334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- APC009461
- Practice address
- 4210 Columbia Rd Ste 11B
Martinez, GA 30907-0443 - Phone
- (706) 364-6576
- NPI assigned
- Jan 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | APC009461 | GA | Primary |
Addresses
Primary practice location
4210 Columbia Rd Ste 11B
Martinez, GA 30907-0443
Mailing address
2020 Clarkston Dr
Augusta, GA 30909-0610
Phone (706) 825-1781
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC009461 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D. W. de Vose & Associates, LLC | Mental Health | Current | Accepting new patients |
Locations
4210 Columbia Rd
Ste 11B
Martinez, GA 30907
Phone (706) 364-6576
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Martinez, GA
- NPI 1174139133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1992576334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 CLARKSTON DR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309090610",
"telephone_number": "706-825-1781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4210 COLUMBIA RD STE 11B",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309070443",
"telephone_number": "706-364-6576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONEY-DEVINE",
"first_name": "NESHIKA",
"middle_name": "L",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-15",
"last_updated": "2024-01-15",
"certification_date": "2024-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "APC009461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinez, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.