MR. JAMES GLENN SHORT (NPI# 1679909220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679909220 |
| Entity Type | Individual |
| Full Name | MR. JAMES GLENN SHORT |
| Credential | LPC |
| Practice Address |
1285 Marks Church Rd Augusta GA 30909-6329 |
| Mailing Address |
6370 Yelton Rd Appling GA 30802-2901 |
| Practice Telephone | 7067380443 |
| Mailing Telephone | 7065419382 |
| Enumeration Date | 2013-09-15 |
| Last Update Date | 2013-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC006264 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891743407 | James Bernard Short Jr. | Family Medicine | 1800 Howell Mill Road, Suite 130, Atlanta, GA 30318 | 2006-05-05 |
| 1215931837 | James Winn Short | Specialist | 796 Doctors Ct, Roxboro, NC 27573-4571 | 2005-06-10 |
| 1639637051 | James Short | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2019-03-05 |
| 1619275310 | James Joshua Short | Counselor | 1155 Cully Rd, Cordova, TN 38018-8502 | 2011-03-03 |
| 1962707331 | James Short | Physician Assistant | 2515 W Elk Ave, Duncan, OK 73533-1571 | 2011-01-17 |
| 1871783183 | James Frederick Short | Counselor | 1592 Granville Pike, Lancaster, OH 43130-1076 | 2007-08-01 |
| 1295881720 | James Michael Short | Dentist | 11 Calle Medico, Suite 1, Santa Fe, NM 87505 | 2007-01-26 |
| 1205859717 | James H Short | Radiology | 2600 6th St Sw, Radiology Associates of Canton, Inc, Canton, OH 44710-1702 | 2006-07-25 |
| 1770585457 | James L Short | Optometrist | 220 N Ironwood Dr, South Bend, IN 46615-2518 | 2005-08-12 |
| Street Address |
1285 MARKS CHURCH RD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-6329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790887206 | Elizabeth Ray Glaze | Counselor | 1285 Marks Church Rd, Suite B, Augusta, GA 30909-6329 | 2006-09-04 |
| 1275854903 | Cynthia Danielle Causey | Counselor | 1285 Marks Church Rd, Augusta, GA 30909-6329 | 2010-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053929091 | Rosetta Parkeraustin | Counselor | 2232 Pepperidge Dr, Augusta, GA 30906-5777 | 2020-07-15 |
| 1194342378 | Christina Hall Videon | Counselor | 207 Hudson Trce Ste 100, Augusta, GA 30907-2010 | 2020-07-03 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1801415476 | Purpose Place, LLC | Counselor | 1121 Laney Walker Blvd, Augusta, GA 30901-2869 | 2020-04-13 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1619539988 | Caitlin Gilham | Counselor | 2945 Walton Way Ext, Augusta, GA 30909-3827 | 2019-07-08 |
| 1306405451 | Julie Elise Tibbetts | Counselor | 3615b Mike Padgett Hwy, Augusta, GA 30906-3898 | 2019-06-12 |
| 1740797489 | Vivian Smoot Ross | Counselor | 4061 Pullman Cir, Augusta, GA 30909-9842 | 2018-01-03 |
| 1992224299 | Trutherapy Lpc | Counselor | 608 Broad St, Augusta, GA 30901-1444 | 2017-09-18 |
| 1316464415 | Heeling In Fashion Foundation Inc. | Counselor | 3006 Richmond Hill Rd, Augusta, GA 30906-3311 | 2017-08-29 |
| Find all providers in AUGUSTA | ||||
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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.