JOSEPH HUGH ETHEREDGE LPC
NPI 1649934407
Counselor - Professional in Newnan, GA
About Joseph Hugh Etheredge Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSEPH HUGH ETHEREDGE LPC (NPI 1649934407) is an individual professional provider in Newnan, Georgia, licensed in Georgia (LPC014279) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Carrollton, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Joseph Hugh Etheredge 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.
Medicare Billing Reassignment
Medicare enrollment records show Joseph Etheredge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 592 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWNAN, GA 30265
NEWNAN, GA 30265
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 Joseph Etheredge's NPI number?
The NPI number for Joseph Etheredge is 1649934407. It was assigned to this individual provider in the NPPES registry on October 27, 2021.
Where is Joseph Etheredge located?
Joseph Etheredge practices at 2959 Sharpsburg Mccullum Rd Ste 105, Newnan, GA 30265. The listed phone number is (678) 423-5500.
What is Joseph Etheredge's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Joseph Etheredge enrolled in Medicare?
Yes. Joseph Etheredge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Joseph Etheredge's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Etheredge reassigns Medicare benefits to Personal Recovery Network LLC (Stockbridge, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joseph Etheredge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Joseph Etheredge was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.
# Joseph Hugh Etheredge, LPC · NPI 1649934407
Professional provider in Newnan, Georgia. Individual provider, active in the CMS NPPES registry since October 27, 2021.
## Identity
- **NPI:** 1649934407 (Entity type: Individual)
- **Enumerated:** October 27, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC014279 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2959 SHARPSBURG MCCULLUM RD STE 105, Newnan, GA 30265-2297
- **Phone:** (678) 423-5500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Personal Recovery Network LLC (NPI 1881990869, Stockbridge, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1649934407) · Data from the CMS NPPES public registry.