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COURTNEY BRADSHAW
NPI 1740725944
Counselor - Mental Health in Atlanta, GA

Active since December 23, 2016Opted out of Medicare · through Aug 22, 2026
3520 PIEDMONT RD NE STE 350, ATLANTA, GA 30305(404) 351-2008 Get Directions Write a Review

NPPES record last updated: December 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Courtney Bradshaw NPPES

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

COURTNEY BRADSHAW (NPI 1740725944) is an individual mental health provider in Atlanta, Georgia, licensed in Georgia (APC005010) and active in the NPI registry since December 2016. She has opted out of Medicare through August 22, 2026.

NPPES Registry Identity

NPI1740725944
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCOURTNEY BRADSHAW
Location Address3520 PIEDMONT RD NE STE 350Atlanta, GA 30305-1582
Mailing Address3345 Chatham Rd NwAtlanta, GA 30305-1141 · (404) 769-1538
Phone(404) 351-2008
Sole ProprietorNo
Enumeration DateDecember 23, 2016
✔ NPI 1740725944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · APC005010
3520 PIEDMONT RD NE STE 350, Atlanta, GA 30305
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Courtney Bradshaw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 22, 2018 through August 22, 2026.

Opt-Out Effective DateAugust 22, 2018
Opt-Out In Effect ThroughAugust 22, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

LUKE GERARD SMITH LMSW
Social Worker
3520 PIEDMONT RD NE STE 350
ATLANTA, GA 30305
Fulton County (470) 808-1685
STARTKINETIK, LLC
Clinic/Center
3520 PIEDMONT RD NE STE 350
ATLANTA, GA 30305
Fulton County (404) 348-8315
ZACK GARNER LPC
Counselor (Mental Health)
3520 PIEDMONT RD NE STE 350
ATLANTA, GA 30305
Fulton County (404) 351-2008
MARY LISA HUBER M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3520 PIEDMONT RD NE STE 350
ATLANTA, GA 30305
Fulton County (404) 240-4218
SIMON FRAGAKIS MS
Counselor (Mental Health)
3520 PIEDMONT RD NE STE 350
ATLANTA, GA 30305
Fulton County (404) 351-2008
MRS. MELISSA GOLDSTEIN LPC, NCC
Counselor (Mental Health)
3520 PIEDMONT RD NE STE 350
ATLANTA, GA 30305
Fulton County (804) 512-5302

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 Courtney Bradshaw's NPI number?

The NPI number for Courtney Bradshaw is 1740725944. It was assigned to this individual provider in the NPPES registry on December 23, 2016.

Where is Courtney Bradshaw located?

Courtney Bradshaw practices at 3520 Piedmont Rd NE Ste 350, Atlanta, GA 30305. The listed phone number is (404) 351-2008.

What is Courtney Bradshaw's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Courtney Bradshaw enrolled in Medicare?

No. Courtney Bradshaw has opted out of Medicare through August 22, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Courtney Bradshaw was last updated on December 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.