MR. JEREMIAH GROGG MS, LPC
NPI 1578017166
Counselor - Professional in Evans, GA

Q: What is Jeremiah Grogg's NPI number?

The NPI number for Jeremiah Grogg is 1578017166. It was assigned to this individual provider in the NPPES registry on August 11, 2016.

Q: What is Jeremiah Grogg'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 Jeremiah Grogg was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 August 11, 2016PECOS Enrolled

601 N BELAIR SQ STE 2, EVANS, GA 30809(706) 836-1195(844) 873-4758 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 11, 2016 (3 updates tracked since 2016).

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About Mr. Jeremiah Grogg Ms, Lpc NPPES

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

MR. JEREMIAH GROGG MS, LPC (NPI 1578017166) is an individual professional provider in Evans, Georgia, licensed in Georgia (LPC009114) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1578017166

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. JEREMIAH GROGGCredential: MS, LPC

Location Address601 N BELAIR SQ STE 2Evans, GA 30809-0518

Mailing Address601 N Belair Sq Ste 2Evans, GA 30809 · (706) 836-1195 · Fax (844) 873-4758

Phone(706) 836-1195

Fax(844) 873-4758

Sole ProprietorYes

Enumeration DateAugust 11, 2016

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1578017166 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 · LPC009114

601 N BELAIR SQ STE 2, Evans, GA 30809

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Secondary Practice Location 1

Location 1211 Pleasant Home Rd, Suite G1Augusta, GA 30907-0518 · Phone (706) 364-4599 · Fax (706) 364-4589

Other Identifiers 1

Medicaid003181469AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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. Jeremiah Grogg Ms, Lpc 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.

Other Providers at the Same Location NPPES 13

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

MEAGAN PHILIP LPC

Counselor (Professional)