Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1891252979 Deactivated / Inactive NPI Male Practitioner

Jefferson Williams

Counselor • Augusta, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jefferson Williams has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 26, 2019
NPI Deactivation Date August 16, 2023
Total Practice Duration ~4 Years of Practice (2019 – 2023)

Professional Overview & Biography Verified Profile Summary

Jefferson Williams was a registered Counselor practicing in Augusta, GA. Throughout an active medical career spanning 4 years, Jefferson Williams provided care at the practice location at 3634 WALTON WAY EXT until profile deactivation on 2023-08-16.

Practice Location & Contact Primary Location

Practice Address

3634 Walton Way Ext

Augusta, GA 309091833

Telephone 7063641404
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.9 Yrs
Regional Practice Density
44 Specialists

Practicing in Augusta, GA (1557 Statewide)

Telehealth Adoption Rate
2.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Hillary Herring , MED

Counselor - Professional

NPI 1033590476

Master of Education

Marana Gainer , MED

Counselor - Mental Health

NPI 1073144630

Master of Education

Jeanne Marie Robenolt

Registered Nurse

NPI 1073911798
Reginald Ulcena , BS

Counselor - Mental Health

NPI 1083056170

Bachelor of Science

Mora Hardy , LPC

Counselor - Mental Health

NPI 1083206262

Licensed Professional Counselor

Cyndi Taylor , LPC

Counselor - Professional

NPI 1083917223

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 16, 2023

Record deactivated on August 16, 2023

NPI Profile Active February 26, 2019

NPI status registered as active in NPPES database

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Updated Practice Location February 26, 2019

Registered at 3634 WALTON WAY EXT, AUGUSTA, GA 309091833 (Tel: 7063641404)

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Updated Business Mailing Address February 26, 2019

Registered at 2933 HENRY ST APT 37, AUGUSTA, GA 309093880 (Tel: 7068367371)

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Provider Name / Credentials Updated February 26, 2019

Recorded as JEFFERSON WILLIAMS

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2019

Counselor

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Initial NPI Registration & Enumeration February 26, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891252979
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2019
Last Update: February 26, 2019
Deactivation Date: August 16, 2023

Mailing Address

2933 Henry St Apt 37

Augusta, GA 309093880

Phone: 7068367371

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.