<unavail> in Augusta, GA - Medicare Psychologist

is a medicare enrolled mental health clinic (Psychologist - Clinical) in Augusta, Georgia. The current practice location for is 2915 Professional Pkwy, Suite C, Augusta, Georgia. For appointments, you can reach them via phone at (706) 364-5228. The mailing address for is 2915 Professional Pkwy, Suite C, Augusta, Georgia and phone number is (706) 364-5228.

is licensed to practice in Georgia (license number 2412). The clinic also participates in the medicare program and its NPI number is 1164464814. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (706) 364-5228.

Contact Information


	2915 Professional Pkwy Suite C Augusta GA 30907-6521
	(706) 364-5228
	(706) 364-5229

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Psychologist
Location	2915 Professional Pkwy, Augusta, Georgia
Authorized Official Name and Position	Connie Stapleton (PSYCHOLOGIST)
Authorized Official Contact	7063645228
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
2915 Professional Pkwy Suite C Augusta GA 30907-6521 Ph: (706) 364-5228	2915 Professional Pkwy Suite C Augusta GA 30907-6521 Ph: (706) 364-5228

NPI Details:

NPI Number	1164464814
Provider Enumeration Date	06/10/2006
Last Update Date	08/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID	6709891658
Medicare Enrollment ID	O20060214000074

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164464814	NPI	-	NPPES
497373	Other	GA	VALUE OPTIONS
52821111-001	Other	GA	BCBS ID#

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2412 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Constance D Stapleton
Provider Type	Practitioner - Clinical Psychologist
Provider Identifiers	NPI Number: 1720080872 PECOS PAC ID: 1456375229 Enrollment ID: I20060220000015

Reviews and Comments

Psychologist in Augusta, GA

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- Medicare Mental Health Clinic in Augusta, GA