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MR. SAMUEL CLARK CUTLER IV LPC
NPI 1104600253
Counselor - Professional in Bogart, GA

Active since August 21, 2023PECOS Enrolled
1621 OCONEE CROSSING CIR, BOGART, GA 30622(706) 338-2988 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mr. Samuel Clark Cutler Iv Lpc NPPES

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

MR. SAMUEL CLARK CUTLER IV LPC (NPI 1104600253) is an individual professional provider in Bogart, Georgia, licensed in Georgia (LPC011624) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104600253
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. SAMUEL CLARK CUTLER IVCredential: LPC
Location Address1621 OCONEE CROSSING CIRBogart, GA 30622-4583
Mailing Address1621 Oconee Crossing CirBogart, GA 30622-4583
Phone(706) 338-2988
Sole ProprietorYes
Enumeration DateAugust 21, 2023
NPPES CertifiedAugust 21, 2023
✔ NPI 1104600253 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 · LPC011624
1621 OCONEE CROSSING CIR, Bogart, GA 30622
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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 (PECOS)

Mr. Samuel Clark Cutler Iv 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.

Other Providers at the Same Location NPPES

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

WHITNEY CUTLER
Dietitian, Registered
1621 OCONEE CROSSING CIR
BOGART, GA 30622
Oconee County (706) 206-2469

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 Samuel Cutler's NPI number?

The NPI number for Samuel Cutler is 1104600253. It was assigned to this individual provider in the NPPES registry on August 21, 2023.

Where is Samuel Cutler located?

Samuel Cutler practices at 1621 Oconee Crossing Cir, Bogart, GA 30622. The listed phone number is (706) 338-2988.

What is Samuel Cutler's specialty?

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

Is Samuel Cutler enrolled in Medicare?

Yes. Samuel Cutler is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Cutler was last updated on August 21, 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.