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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CHARLES GREG MALONE
NPI 1124941299
Counselor - Professional in Dacula, GA

Active since August 04, 2026
2155 ENCLAVE MILL DR, DACULA, GA 30019(404) 276-1578 Get Directions Write a Review

NPPES record added: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Greg Malone NPPES

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

CHARLES GREG MALONE (NPI 1124941299) is an individual professional provider in Dacula, Georgia, licensed in Georgia (LPC016490) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1124941299
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCHARLES GREG MALONE
Location Address2155 ENCLAVE MILL DRDacula, GA 30019-3290
Mailing Address2155 Enclave Mill DrDacula, GA 30019-3290 · (404) 276-1578
Phone(404) 276-1578
Sole ProprietorYes
Enumeration DateAugust 4, 2026
NPPES CertifiedAugust 4, 2026
✔ NPI 1124941299 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 · LPC016490
2155 ENCLAVE MILL DR, Dacula, GA 30019
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Charles Malone's NPI number?

The NPI number for Charles Malone is 1124941299. It was assigned to this individual provider in the NPPES registry on August 4, 2026.

Where is Charles Malone located?

Charles Malone practices at 2155 Enclave Mill Dr, Dacula, GA 30019. The listed phone number is (404) 276-1578.

What is Charles Malone'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 Charles Malone was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.