DR. OTHA EVERETT EDD, CRC, MHP
NPI 1043755531
Counselor - Professional in Perry, GA

Active since December 20, 2016
733-B CARROLL STREET, PERRY, GA 31069(478) 224-2850(478) 224-2850 Get Directions Write a Review

NPPES record last updated: December 20, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Otha Everett Edd, Crc, Mhp NPPES

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

DR. OTHA EVERETT EDD, CRC, MHP (NPI 1043755531) is an individual professional provider in Perry, Georgia, licensed in Georgia (00048259) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1043755531
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. OTHA EVERETTCredential: EDD, CRC, MHP
Location Address733-B CARROLL STREETPerry, GA 31069
Mailing Address733b Carroll StreetPerry, GA 31069 · (478) 224-2850 · Fax (478) 224-2850
Fax(478) 224-2850
Sole ProprietorYes
Enumeration DateDecember 20, 2016
NPI 1043755531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · 00048259
733-B CARROLL STREET, Perry, GA 31069

Other Identifiers 1

Other00048259GA · Professional Counselor

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 Otha Everett's NPI number?

The NPI number for Otha Everett is 1043755531. It was assigned to this individual provider in the NPPES registry on December 20, 2016.

Where is Otha Everett located?

Otha Everett practices at 733-B Carroll Street, Perry, GA 31069. The listed phone number is (478) 224-2850.

What is Otha Everett's specialty?

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

When was this NPI record last updated?

The NPPES record for Otha Everett was last updated on December 20, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.