AUSTIN THOMAS SHIVELY LAPC
NPI 1083287742
Counselor - Professional in Augusta, GA

Q: What is Austin Shively's NPI number?

The NPI number for Austin Shively is 1083287742. It was assigned to this individual provider in the NPPES registry on July 21, 2021.

Q: What is Austin Shively's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Austin Shively was last updated on September 26, 2022. 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.

Active since July 21, 2021PECOS EnrolledAccepts Medicare Assignment

3633 WHEELER RD STE 365, AUGUSTA, GA 30909(706) 432-6866(706) 432-8775 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 26, 2022, Jul 21, 2021 (2 updates tracked since 2021).

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About Austin Thomas Shively Lapc NPPES

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

AUSTIN THOMAS SHIVELY LAPC (NPI 1083287742) is an individual professional provider in Augusta, Georgia, licensed in Georgia (APC008650) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1083287742

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameAUSTIN THOMAS SHIVELYCredential: LAPC

Location Address3633 WHEELER RD STE 365Augusta, GA 30909-6549

Mailing Address3633 Wheeler Rd Ste 365Augusta, GA 30909-6549 · (706) 432-6866 · Fax (706) 432-8775

Phone(706) 432-6866

Fax(706) 432-8775

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 21, 2021

Last NPPES UpdateSeptember 26, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2022

✔ NPI 1083287742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in GA · APC008650

Also ListedCounselorTaxonomy 101Y00000X

3633 WHEELER RD STE 365, Augusta, GA 30909

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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 and accepts Medicare assignment

Austin Thomas Shively Lapc 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.

PECOS PAC ID6406355338

PECOS Enrollment IDI20250818003870

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 19

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

BRIAN PATRICK ADAMS LCSW

Social Worker (Clinical)