NATHANIEL TUCKER BRADDY LPC
NPI 1306420583
Counselor - Professional in Augusta, GA

Q: What is Nathaniel Braddy's NPI number?

The NPI number for Nathaniel Braddy is 1306420583. It was assigned to this individual provider in the NPPES registry on May 12, 2021.

Q: What is Nathaniel Braddy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nathaniel Braddy was last updated on January 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 12, 2021PECOS EnrolledAccepts Medicare Assignment

3633 WHEELER RD STE 365, AUGUSTA, GA 30909(706) 432-6866(706) 432-8775 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 8, 2026, Dec 24, 2025, Jan 7, 2024 and 2 more (5 updates tracked since 2021).

On this page

About Nathaniel Tucker Braddy Lpc NPPES

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

NATHANIEL TUCKER BRADDY LPC (NPI 1306420583) is an individual professional provider in Augusta, Georgia, licensed in Georgia (LPC014354) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1306420583

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameNATHANIEL TUCKER BRADDYCredential: LPC

Location Address3633 WHEELER RD STE 365Augusta, GA 30909-6549

Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630

Phone(706) 432-6866

Fax(706) 432-8775

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateMay 12, 2021

Last NPPES UpdateJanuary 8, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2026

✔ NPI 1306420583 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 · LPC014354

3633 WHEELER RD STE 365, Augusta, GA 30909

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nathaniel Tucker Braddy Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244683928

PECOS Enrollment IDI20240130000317

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 18

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

MICHELE DUPUIS BOUCHARD LPC

Counselor (Professional)