Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124941299 Individual Practitioner Male Practitioner

Charles Greg Malone

Counselor - Professional • Dacula, GA

Professional Overview & Biography Verified Profile Summary

Charles Malone is a registered healthcare professional specializing in Counselor - Professional in Dacula, GA. Practice services are available at 2155 ENCLAVE MILL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2155 Enclave Mill Dr

Dacula, GA 300193290

Telephone 4042761578

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Dacula, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
14 Specialists

Practicing in Dacula, GA (6655 Statewide)

Telehealth Adoption Rate
7.1% 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: 2026-08-04
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA LPC016490

Definition to come...

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 04, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location August 04, 2026

Registered at 2155 ENCLAVE MILL DR, DACULA, GA 300193290 (Tel: 4042761578)

📍
Updated Business Mailing Address August 04, 2026

Registered at 2155 ENCLAVE MILL DR, DACULA, GA 300193290 (Tel: 4042761578)

👤
Provider Name / Credentials Updated August 04, 2026

Recorded as CHARLES MALONE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2026

Counselor (License #LPC016490 in GA)

🟢
Initial NPI Registration & Enumeration August 04, 2026

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: 1124941299
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2026
Last Update: August 04, 2026
Sole Proprietor: Yes

Mailing Address

2155 Enclave Mill Dr

Dacula, GA 300193290

Phone: 4042761578

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.