DR. IAN JAMES MUDGE L.P.C.
NPI 1700414539
Counselor - Professional in Stone Mountain, GA

Q: What is Ian Mudge's NPI number?

The NPI number for Ian Mudge is 1700414539. It was assigned to this individual provider in the NPPES registry on March 28, 2020.

Q: What is Ian Mudge'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 Ian Mudge was last updated on July 11, 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.

Active since March 28, 2020PECOS Enrolled

5320 CUMBERLAND WAY, STONE MOUNTAIN, GA 30087(862) 201-3495 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2024, Mar 28, 2020 (2 updates tracked since 2020).

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About Dr. Ian James Mudge L.p.c. NPPES

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

DR. IAN JAMES MUDGE L.P.C. (NPI 1700414539) is an individual professional provider in Stone Mountain, Georgia, licensed in Georgia (LPC013731) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1700414539

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameDR. IAN JAMES MUDGECredential: L.P.C.

Location Address5320 CUMBERLAND WAYStone Mountain, GA 30087-4211

Mailing Address5320 Cumberland WayStone Mountain, GA 30087-4211 · (862) 201-3495

Phone(862) 201-3495

Sole ProprietorYes

Enumeration DateMarch 28, 2020

Last NPPES UpdateJuly 11, 20242 updates tracked since enumeration

NPPES CertifiedJuly 11, 2024

✔ NPI 1700414539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in GA · LPC013731

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

5320 CUMBERLAND WAY, Stone Mountain, GA 30087

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Secondary Practice Location 1

Location 12999 Piedmont Rd NE Ste 100Atlanta, GA 30305-2792 · Phone (862) 201-3495

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Providence Health Plan, 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 (PECOS)

Dr. Ian James Mudge L.p.c. 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.

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 Ian Mudge's NPI number?

The NPI number for Ian Mudge is 1700414539. It was assigned to this individual provider in the NPPES registry on March 28, 2020.

Where is Ian Mudge located?

Ian Mudge practices at 5320 Cumberland Way, Stone Mountain, GA 30087. The listed phone number is (862) 201-3495.

What is Ian Mudge's specialty?

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

Is Ian Mudge enrolled in Medicare?

Yes. Ian Mudge is registered in the Medicare PECOS enrollment system.

What insurance does Ian Mudge accept?

Health plans from Blue Cross and Blue Shield of Texas, Providence Health Plan and UnitedHealthcare list Ian Mudge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ian Mudge was last updated on July 11, 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.