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MADISON SPORTS LPC
NPI 1023801529
Counselor - Mental Health in Waycross, GA

Active since May 27, 2025PECOS Enrolled
1003 MARY ST, WAYCROSS, GA 31503(912) 449-7100 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madison Sports Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADISON SPORTS LPC (NPI 1023801529) is an individual mental health provider in Waycross, Georgia and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023801529
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMADISON SPORTSCredential: LPC
Location Address1003 MARY STWaycross, GA 31503-3823
Mailing Address1007 Mary StWaycross, GA 31503-3823
Phone(912) 449-7100
Sole ProprietorNo
Enumeration DateMay 27, 2025
NPPES CertifiedMay 27, 2025
✔ NPI 1023801529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1003 MARY ST, Waycross, GA 31503
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison Sports Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACIE NORMAN LAPC
Counselor (Professional)
1003 MARY ST
WAYCROSS, GA 31503
Ware County (912) 449-7150
CARLA PYE WINN FNP
Nurse Practitioner (Family)
1003 MARY ST
WAYCROSS, GA 31503
Ware County (912) 449-7150
DANIELLE BROWN LPC
Counselor (Professional)
1003 MARY ST
WAYCROSS, GA 31503
Ware County (912) 449-7100
TAYLOR MARIE STRICKLAND
Social Worker (Clinical)
1003 MARY ST
WAYCROSS, GA 31503
Ware County (912) 449-7100
KRYSTAL NAKITA ROBINSON LMFT
Marriage & Family Therapist
1003 MARY ST
WAYCROSS, GA 31503
Ware County (912) 449-7100
HANNAH DAVIS
Social Worker (Clinical)
1003 MARY ST
WAYCROSS, GA 31503
Ware County (912) 449-7100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madison Sports's NPI number?

The NPI number for Madison Sports is 1023801529. It was assigned to this individual provider in the NPPES registry on May 27, 2025.

Where is Madison Sports located?

Madison Sports practices at 1003 Mary St, Waycross, GA 31503. The listed phone number is (912) 449-7100.

What is Madison Sports's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Madison Sports enrolled in Medicare?

Yes. Madison Sports is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madison Sports was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.