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MR. DAVID R PETTY JR. LCSW
NPI 1205701158
Social Worker - Clinical in Hampton, GA

Active since October 09, 2025PECOS Enrolled
714 POWNAL LN, HAMPTON, GA 30228(678) 481-8883 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. David R Petty Jr. Lcsw NPPES

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

MR. DAVID R PETTY JR. LCSW (NPI 1205701158) is an individual clinical provider in Hampton, Georgia, licensed in Georgia (CSW009570) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205701158
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. DAVID R PETTY JR.Credential: LCSW
Location Address714 POWNAL LNHampton, GA 30228-6185
Mailing Address714 Pownal LnHampton, GA 30228-6185 · (678) 481-8883
Phone(678) 481-8883
Sole ProprietorYes
Enumeration DateOctober 9, 2025
NPPES CertifiedOctober 9, 2025
✔ NPI 1205701158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in GA · CSW009570
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
714 POWNAL LN, Hampton, GA 30228
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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. David R Petty Jr. Lcsw 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 30228 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
$0.00 typical visit price
range $56.84 – $172.43
Typical copayment $0.00 (range $14.21 – $43.10)
Most-billed visit code NA
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 David Petty's NPI number?

The NPI number for David Petty is 1205701158. It was assigned to this individual provider in the NPPES registry on October 9, 2025.

Where is David Petty located?

David Petty practices at 714 Pownal Ln, Hampton, GA 30228. The listed phone number is (678) 481-8883.

What is David Petty's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is David Petty enrolled in Medicare?

Yes. David Petty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Petty was last updated on October 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.