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Active NPI 1578365854 Individual Practitioner Male Practitioner

Mark Tomberlin , LPC

Counselor - Professional • Conyers, GA

Professional Overview & Biography Verified Profile Summary

Mark Tomberlin, LPC is a registered healthcare professional specializing in Counselor - Professional in Conyers, GA. Practice services are available at 1257 COMMERCIAL DR SW STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1257 Commercial Dr Sw Ste A

Conyers, GA 300945991

Telephone 7702856049
Associated Practice Facility / Clinic
🏢 Anel Management Inc. Facility NPI 1962542795

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Conyers, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.8 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
78 Specialists

Practicing in Conyers, GA (6655 Statewide)

Telehealth Adoption Rate
2.6% 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

CMS Verified: 2025-04-01
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA LPC15605

Definition to come...

Practice Associates & Co-Workers

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

4 Associated Practitioners
Quinten Oppong , LMFT

Marriage & Family Therapist

NPI 1255052791

Licensed Marriage and Family Therapist

D'anthony Harris

Counselor - Professional

NPI 1295361673
Patricia Mcgrew

Counselor - Mental Health

NPI 1417732769
NPI 1962236695

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 01, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2025

Registered at 1257 COMMERCIAL DR SW STE A, CONYERS, GA 300945991 (Tel: 7702856049)

📍
Updated Business Mailing Address April 01, 2025

Registered at 1257 COMMERCIAL DR SW STE A, CONYERS, GA 300945991 (Tel: 7702856049)

👤
Provider Name / Credentials Updated April 01, 2025

Recorded as MARK TOMBERLIN, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2025

Counselor (License #LPC15605 in GA)

🟢
Initial NPI Registration & Enumeration March 26, 2025

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: 1578365854
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2025
Last Update: April 01, 2025
Sole Proprietor: No

Mailing Address

1257 Commercial Dr Sw Ste A

Conyers, GA 300945991

Phone: 7702856049

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.