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JOSEPH HUGH ETHEREDGE LPC
NPI 1649934407
Counselor - Professional in Carrollton, GA

Active since October 27, 2021PECOS EnrolledAccepts Medicare Assignment
263 ALMON RD, CARROLLTON, GA 30117(770) 546-5398 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 Carrollton, Georgia, licensed in Georgia (LPC014279) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1649934407
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJOSEPH HUGH ETHEREDGECredential: LPC
Location Address263 ALMON RDCarrollton, GA 30117-1903
Mailing Address153 Grizzly TrlCarrollton, GA 30117-4974 · (470) 729-0987
Phone(770) 546-5398
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 27, 2021
Last NPPES UpdateJanuary 10, 2024
NPPES CertifiedJanuary 10, 2024
✔ NPI 1649934407 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 · LPC014279
263 ALMON RD, Carrollton, GA 30117
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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 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.

PECOS PAC ID4385080753
PECOS Enrollment IDI20240307001719
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.

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 263 Almon Rd, Carrollton, GA 30117. The listed phone number is (770) 546-5398.

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.

When was this NPI record last updated?

The NPPES record for Joseph Etheredge was last updated on January 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.