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Active NPI 1073844395 Individual Practitioner Male Practitioner

Keith Wilson Edmonds , LPC

Counselor - Professional • Evans, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Keith Edmonds, LPC is a certified Counselor - Professional practicing in Evans, GA. With approximately 17 years of clinical experience since completing medical education in 2009, Keith Edmonds delivers high-quality medical care to the local community at 1202 TOWN PARK LN STE 300.

Keith Edmonds is affiliated with Personal Recovery Network Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1202 Town Park Ln Ste 300

Evans, GA 308093477

Telephone 7062108855
Fax 7064328775
Associated Practice Facility / Clinic
🏢 Families Forward Llc Facility NPI 1962750869

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Evans, GA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs +3.4 yrs vs City Avg
City Avg: 13.6 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
52 Specialists

Practicing in Evans, GA (6655 Statewide)

Telehealth Adoption Rate
3.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Edmonds (17 Years) 17 Yrs
Evans Specialty Average (13.6 Years) 13.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-05-12
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA LPC004579

Definition to come...

Hospital & Practice Group Affiliations

Personal Recovery Network Llc

1202 Town Park Ln, Evans, GA 308093477

Phone: 7703898100

Practice Associates & Co-Workers

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

40 Associated Practitioners
Charles Bost , LPC

Marriage & Family Therapist

NPI 1013381284

Licensed Professional Counselor

Brian Adams , LCSW

Social Worker - Clinical

NPI 1043591183

Licensed Clinical Social Worker

Dr. Amy Holsten , PhD

Psychologist - Clinical Child & Adolescent

NPI 1053665356

Doctor of Philosophy (Ph.D.)

Austin Shively , LAPC

Counselor - Professional

NPI 1083287742
Janese Brown , LCSW

Social Worker - Clinical

NPI 1083370480

Licensed Clinical Social Worker

Melissa Mudd , LAPC

Counselor - Mental Health

NPI 1093259111

Career & Practice History Timeline

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

11 Historical Events
👤
Provider Name / Credentials Updated May 12, 2026

Recorded as KEITH EDMONDS, LPC

📍
Updated Business Mailing Address January 08, 2026

Registered at 4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 852517630

📍
Updated Practice Location November 05, 2024

Registered at 1202 TOWN PARK LN STE 300, EVANS, GA 308093477 (Tel: 7062108855)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2024

Counselor (License #LPC004579 in GA)

📍
Updated Business Mailing Address May 06, 2021

Registered at 1120 15TH ST, STE BI1056, AUGUSTA, GA 309120004 (Tel: 7067213813)

NPI Profile Active January 26, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location January 26, 2010

Registered at 3604 WHEELER RD STE A1, AUGUSTA, GA 309096562 (Tel: 7069517644)

📍
Updated Business Mailing Address January 26, 2010

Registered at 3604 WHEELER RD STE A1, AUGUSTA, GA 309096562 (Tel: 7069517644)

👤
Provider Name / Credentials Updated January 26, 2010

Recorded as KEITH EDMONDS, ED.D., LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2010

Counselor (License #LPC004579 in GA)

🟢
Initial NPI Registration & Enumeration January 26, 2010

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: 1073844395
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2010
Last Update: May 12, 2026
Sole Proprietor: Yes

Mailing Address

4800 N Scottsdale Rd Ste 2500

Scottsdale, AZ 852517630

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.