LAKEISHA SHONTA GANTT PHD
NPI 1134495971
Psychologist - Clinical in Athens, GA

Q: What is Lakeisha Gantt's NPI number?

The NPI number for Lakeisha Gantt is 1134495971. It was assigned to this individual provider in the NPPES registry on March 27, 2012.

Q: What is Lakeisha Gantt's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Lakeisha Gantt was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 27, 2012PECOS Enrolled

2750 LEXINGTON RD, ATHENS, GA 30605(706) 389-8207 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 10, 2024, Jun 14, 2023, Aug 26, 2020 (3 updates tracked since 2020).

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About Lakeisha Shonta Gantt Phd NPPES

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

LAKEISHA SHONTA GANTT PHD (NPI 1134495971) is an individual clinical provider in Athens, Georgia, licensed in Georgia (PSY003777) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134495971

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameLAKEISHA SHONTA GANTTCredential: PHD

Location Address2750 LEXINGTON RDAthens, GA 30605-2406

Mailing Address225 Swanson DrAthens, GA 30606-3219 · (706) 389-8207

Phone(706) 389-8207

Sole ProprietorYes

Enumeration DateMarch 27, 2012

Last NPPES UpdateJuly 10, 20243 updates tracked since enumeration

NPPES CertifiedJuly 10, 2024

✔ NPI 1134495971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in GA · PSY003777

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC006380 (GA)

2750 LEXINGTON RD, Athens, GA 30605

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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)

Lakeisha Shonta Gantt Phd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$164.04 typical visit price

range $53.31 – $164.04

Typical copayment $41.01 (range $13.32 – $41.01)

Most-billed visit code 99205

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

MINDSPRINGS COUNSELING AND CONSULTING LLC

Psychologist (Clinical)

2750 LEXINGTON RD
ATHENS, GA 30605

Clarke County (706) 389-8207

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 Lakeisha Gantt's NPI number?

The NPI number for Lakeisha Gantt is 1134495971. It was assigned to this individual provider in the NPPES registry on March 27, 2012.

Where is Lakeisha Gantt located?

Lakeisha Gantt practices at 2750 Lexington Rd, Athens, GA 30605. The listed phone number is (706) 389-8207.

What is Lakeisha Gantt's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Lakeisha Gantt enrolled in Medicare?

Yes. Lakeisha Gantt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lakeisha Gantt was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.