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

Active since July 21, 2021PECOS Enrolled
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: October 25, 2026.

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

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.

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
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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Austin Thomas Shively Lapc 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 Austin Shively reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Savannah River Counseling
5.7 mi
Professional
622 PONDER PLACE DR STE 2
Evans, GA 30809
  • Reassigned Medicare billing, Georgia enrollment
  • 5 clinicians in this Medicare group
NPI 1477381259 (706) 830-3229

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 20

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

ASHLEY TIERRA WALLER MSN, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3633 WHEELER RD STE 365
AUGUSTA, GA 30909
Richmond County (706) 432-6866
BRIAN PATRICK ADAMS LCSW
Social Worker (Clinical)
3633 WHEELER RD STE 365
AUGUSTA, GA 30909
Richmond County (706) 432-6866
KATHRYN DIANE THOMPSON LMFT
Marriage & Family Therapist
3633 WHEELER RD STE 365
AUGUSTA, GA 30909
Richmond County (706) 432-6866
CHRISTY J GARDNER LPC
Counselor (Professional)
3633 WHEELER RD STE 365
AUGUSTA, GA 30909
Richmond County (706) 432-6866
MRS. LINETTE KAY MANUEL APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3633 WHEELER RD STE 365
AUGUSTA, GA 30909
Richmond County (762) 895-9588
STEWART ALLEN SHEVITZ MD
Psychiatry & Neurology (Psychiatry)
3633 WHEELER RD STE 365
AUGUSTA, GA 30909
Richmond County (706) 432-6866
KELLY LYNN THORPE LCSW
Social Worker (Clinical)
3633 WHEELER RD STE 365
AUGUSTA, GA 30909
Richmond County (706) 432-6866
NATHANIEL TUCKER BRADDY LPC
Counselor (Professional)
3633 WHEELER RD STE 365
AUGUSTA, GA 30909
Richmond County (706) 432-6866

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 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.

Where is Austin Shively located?

Austin Shively practices at 3633 Wheeler Rd Ste 365, Augusta, GA 30909. The listed phone number is (706) 432-6866.

What is Austin Shively's specialty?

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

Is Austin Shively enrolled in Medicare?

Yes. Austin Shively is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Austin Shively's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Austin Shively reassigns Medicare benefits to Savannah River Counseling (Evans, 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 Austin Shively's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Austin Shively accept?

Health plans from Oscar Health list Austin Shively as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 4 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.