DR. SCOTT ALLEN PEEBLES (NPI# 1396936886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396936886 |
| Entity Type | Individual |
| Full Name | DR. SCOTT ALLEN PEEBLES |
| Credential | PH.D. |
| Practice Address |
1 Freedom Way Mental Health and Geriatrics Service Line (26) Augusta GA 30904-6258 |
| Practice Telephone | 7067330188 |
| Mailing Telephone | 7067330188 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2011-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
003104 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659881019 | Scott Peebles | Marriage & Family Therapist | 1151 Dove St Ste 160, Newport Beach, CA 92660-2847 | 2017-10-11 |
| Street Address |
1 FREEDOM WAY MENTAL HEALTH AND GERIATRICS SERVICE LINE (26) |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-6258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900713 | Robert Leon Longe | Pharmacist | 1 Freedom Way, Augusta, GA 30904-6258 | 2005-05-24 |
| 1609476951 | Melissa Ann Cotton | Dentist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-27 |
| 1487253217 | Kelsey Shull | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-22 |
| 1437758844 | Angela Marie Brown | Social Worker | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-19 |
| 1538767819 | Stephen William Montgomery | Music Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-09 |
| 1134726631 | Rebecca Leigh Halioua | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-07 |
| 1104435718 | Vincent Michael Fitch | Psychologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-07-29 |
| 1558988162 | Amanda Draheim | Psychologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-30 |
| 1174140784 | Tiffany Ariel Graves | Student in an Organized Health Care Education/Training Program | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-30 |
| 1982221776 | Janice J Anglin | Dietitian, Registered | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427515949 | Deborah R Abner | Psychologist | 2357 Tobacco Rd, Augusta, GA 30906-9220 | 2019-02-21 |
| 1326416207 | Huynh Mai Nguyen | Psychologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2015-09-09 |
| 1093809048 | Ruth A Nelson-abbott | Psychologist | 3633 Wheeler Rd, Suite 110, Augusta, GA 30909-6549 | 2006-10-03 |
| 1326054123 | Jerold E Hambright | Psychologist | 1 Va Center, Togus Va Medical Center, Augusta, ME 04330 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051573 | Latoya Crane | Psychologist | 260 Rock Hill Dr, Fayetteville, GA 30215-4953 | 2020-10-20 |
| 1871100024 | Life Skills Community Center Inc | Psychologist | 2440 Sandy Plains Rd Ste 300, Marietta, GA 30066-7217 | 2020-09-30 |
| 1275140386 | The Worth, Wisdom, and Wellness Center LLC | Psychologist | 1201 W Peachtree St Nw Ste 2330, Atlanta, GA 30309-3453 | 2020-09-23 |
| 1487268744 | Dontavious Ford | Psychologist | 107 Childs St, Stockbridge, GA 30281-3722 | 2020-09-03 |
| 1740893601 | Georgia Mountain Psychological Associates Inc. | Psychologist | 851 Highway 441 S Ste 105, Clayton, GA 30525-5424 | 2020-08-28 |
| 1295345734 | John Myers | Psychologist | 5714 Old National Hwy, College Park, GA 30349-3836 | 2020-08-07 |
| 1376161661 | Bright Minds Psychological Services, Inc | Psychologist | 526 Forest Pkwy Ste C, Forest Park, GA 30297-6140 | 2020-07-13 |
| 1760006035 | Healthy Connections Counseling | Psychologist | 4434 Columbia Rd Ste 202, Martinez, GA 30907-4271 | 2020-06-03 |
| 1578183034 | Stephen Clay Marks | Psychologist | 216 Dogwood Dr, Ellijay, GA 30540-5527 | 2020-04-24 |
| 1376173658 | Marcuetta D. Sims | Psychologist | 2436 Wood Meadows Dr Sw, Marietta, GA 30064-4471 | 2020-01-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.