JOHN DURY LPC, MFT, MAC, SAP
NPI 1063604403
Counselor - Professional in Stone Mountain, GA
About John Dury Lpc, Mft, Mac, Sap NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN DURY LPC, MFT, MAC, SAP (NPI 1063604403) is an individual professional provider in Stone Mountain, Georgia, licensed in Georgia (002917) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John Dury Lpc, Mft, Mac, Sap is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show John Dury reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95054
- Reassigned Medicare billing, California enrollment
- 1,607 clinicians in this Medicare group
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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Dury's NPI number?
The NPI number for John Dury is 1063604403. It was assigned to this individual provider in the NPPES registry on August 9, 2007. The provider is also known as John Swango Lpc, Lmft, Mac, Sap.
Where is John Dury located?
John Dury practices at 1180 Old Tucker Rd, Stone Mountain, GA 30087. The listed phone number is (770) 921-2800.
What is John Dury's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is John Dury enrolled in Medicare?
Yes. John Dury is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for John Dury's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Dury reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, CA). 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 John Dury'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 John Dury was last updated on May 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# John Dury, LPC, MFT, MAC, SAP · NPI 1063604403
Professional provider in Stone Mountain, Georgia. Individual provider, active in the CMS NPPES registry since August 9, 2007.
## Identity
- **NPI:** 1063604403 (Entity type: Individual)
- **Enumerated:** August 9, 2007
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 002917 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1180 OLD TUCKER RD, Stone Mountain, GA 30087-3030
- **Phone:** (770) 921-2800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sud Specialty Group - Ca (NPI 1972138238, Santa Clara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** May 16, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1063604403) · Data from the CMS NPPES public registry.