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Precious Douse

Counselor - Professional β€’ Hiram, GA

Active NPI 1619421237 Individual Practitioner Female Practitioner
Practice location in NPPES

126 Enterprise Path Ste 201
Hiram, GA 301412654

Call 6785670920 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

126 Enterprise Path Ste 201

Hiram, GA 301412654

Telephone 6785670920
Organization at the Same NPPES Address or Phone
Highland Rivers Csb Facility NPI 1578626917

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Hiram and Georgia

34 active clinicians are listed under Counselor - Professional with a practice address in Hiram, GA (6,500 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Hiram

0% of these 34 clinicians have the CMS telehealth indicator.

5.9% of these 34 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES GA 009026
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Andrea Nimene , NP

Nurse Practitioner - Family

NPI 1861945610

Nurse Practitioner

Catherine Russell , MSN, PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1952911976

Master of Science in Nursing, Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active November 29, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location November 29, 2017

Registered at 126 ENTERPRISE PATH STE 201, HIRAM, GA 301412654 (Tel: 6785670920)

πŸ“
Updated Business Mailing Address November 29, 2017

Registered at 126 ENTERPRISE PATH STE 201, HIRAM, GA 301412654 (Tel: 6785670920)

πŸ‘€
Provider Name / Credentials Updated November 29, 2017

Recorded as PRECIOUS DOUSE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2017

Counselor (license number reported to NPPES: GA 009026)

βœ…
NPI Profile Active August 11, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 11, 2016

Registered at 121 PINE CIR, JONESBORO, GA 302363535 (Tel: 4047254676)

πŸ“
Business Mailing Address (Initial Record) August 11, 2016

Registered at 121 PINE CIR, JONESBORO, GA 302363535 (Tel: 4047254676)

πŸ‘€
Provider Name / Credentials (Initial Record) August 11, 2016

Recorded as PRECIOUS DOUSE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2016

Counselor (license number reported to NPPES: GA 009026)

🟒
Initial NPI Registration & Enumeration August 11, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1619421237
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2016
Last Update: November 29, 2017
Sole Proprietor: Yes

Mailing Address

126 Enterprise Path Ste 201

Hiram, GA 301412654

Phone: 6785670920

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.