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MR. BRYAN MILD GOLSON LPC
NPI 1033992805
Counselor - Professional in Duluth, GA

Active since August 16, 2023PECOS Enrolled
3350 BRECKINRIDGE BLVD STE 200, DULUTH, GA 30096(770) 962-8396 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Bryan Mild Golson Lpc NPPES

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

MR. BRYAN MILD GOLSON LPC (NPI 1033992805) is an individual professional provider in Duluth, Georgia and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033992805
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. BRYAN MILD GOLSONCredential: LPC
Location Address3350 BRECKINRIDGE BLVD STE 200Duluth, GA 30096-4959
Mailing Address3350 Breckinridge Blvd Ste 200Duluth, GA 30096-4959 · (770) 962-8396
Phone(770) 962-8396
Sole ProprietorNo
Enumeration DateAugust 16, 2023
NPPES CertifiedAugust 8, 2023
✔ NPI 1033992805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
3350 BRECKINRIDGE BLVD STE 200, Duluth, GA 30096
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Bryan Mild Golson 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.

Medicare Billing Reassignment

Medicare enrollment records show Bryan Golson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Positive Impact Health Centers Inc
Same address
Primary Care
3350 BRECKINRIDGE BLVD STE 200
Duluth, GA 30096
  • Reassigned Medicare billing, Georgia enrollment
  • 36 clinicians in this Medicare group
NPI 1790861995 (770) 962-8396

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 12

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

CHRISTIAN JAVIER CARMONA-CARLO
Counselor (Professional)
3350 BRECKINRIDGE BLVD STE 200
DULUTH, GA 30096
Gwinnett County (770) 962-8396
SAMANTHA MARIE HYDES APRN, FNP-BC
Nurse Practitioner (Family)
3350 BRECKINRIDGE BLVD STE 200
DULUTH, GA 30096
Gwinnett County (678) 990-6422
JESSICA LEONARD DMD
Dentist
3350 BRECKINRIDGE BLVD STE 200
DULUTH, GA 30096
Gwinnett County (770) 962-8396
DR. PAMELA MARIE WASHINGTON DMD
Dentist (General Practice)
3350 BRECKINRIDGE BLVD STE 200
DULUTH, GA 30096
Gwinnett County (770) 962-8396
POSITIVE IMPACT HEALTH CENTERS, INC
Dentist (General Practice)
3350 BRECKINRIDGE BLVD STE 200
DULUTH, GA 30096
Gwinnett County (179) 086-1995
HANNAH HARRIS
Social Worker (Clinical)
3350 BRECKINRIDGE BLVD STE 200
DULUTH, GA 30096
Gwinnett County (404) 577-5237
POSITIVE IMPACT HEALTH CENTERS, INC
Case Management
3350 BRECKINRIDGE BLVD STE 200
DULUTH, GA 30096
Gwinnett County (770) 962-8396
MARY ELIZABETH SCHILLING LPC
Counselor (Mental Health)
3350 BRECKINRIDGE BLVD STE 200
DULUTH, GA 30096
Gwinnett County (404) 977-5257

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 Bryan Golson's NPI number?

The NPI number for Bryan Golson is 1033992805. It was assigned to this individual provider in the NPPES registry on August 16, 2023.

Where is Bryan Golson located?

Bryan Golson practices at 3350 Breckinridge Blvd Ste 200, Duluth, GA 30096. The listed phone number is (770) 962-8396.

What is Bryan Golson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Bryan Golson enrolled in Medicare?

Yes. Bryan Golson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bryan Golson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Golson reassigns Medicare benefits to Positive Impact Health Centers Inc (Duluth, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bryan Golson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bryan Golson was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.