MR. BEAUFORT ADDISON III
NPI 1205413481
Counselor - Mental Health in Lithonia, GA

Active since March 25, 2021
5576 OAK BEND PL, LITHONIA, GA 30058(803) 664-4007 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Beaufort Addison Iii NPPES

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

MR. BEAUFORT ADDISON III (NPI 1205413481) is an individual mental health provider in Lithonia, Georgia and active in the NPI registry since March 2021. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205413481
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. BEAUFORT ADDISON III
Location Address5576 OAK BEND PLLithonia, GA 30058-3302
Mailing Address5576 Oak Bend PlLithonia, GA 30058-3302 · (803) 664-4007
Sole ProprietorYes
Enumeration DateMarch 25, 2021
NPPES CertifiedMarch 25, 2021
NPI 1205413481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5576 OAK BEND PL, Lithonia, GA 30058

Secondary Practice Locations 2

Location 11755 The Exchange SE Ste 330UAtlanta, GA 30339-7434 · Phone (678) 273-3005
Location 220 S 3rd StColumbus, OH 43215-4206 · Phone (614) 726-1485 · Fax (866) 416-1767

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 Beaufort Addison's NPI number?

The NPI number for Beaufort Addison is 1205413481. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Beaufort Addison located?

Beaufort Addison practices at 5576 Oak Bend Pl, Lithonia, GA 30058. The listed phone number is (803) 664-4007.

What is Beaufort Addison's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Beaufort Addison was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.