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Active NPI 1811503402 Individual Practitioner Female Practitioner

Tracy Cullom , MA, LAPC

Counselor - Professional • Suwanee, GA

Professional Overview & Biography Verified Profile Summary

Tracy Cullom, MA, LAPC is a registered healthcare professional specializing in Counselor - Professional in Suwanee, GA. Practice services are available at 4411 SUWANEE DAM RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4411 Suwanee Dam Rd

Suwanee, GA 300248701

Telephone 6789938464
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Suwanee, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.9 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
68 Specialists

Practicing in Suwanee, GA (6655 Statewide)

Telehealth Adoption Rate
1.5% 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: 2020-09-18
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA APC007578

Definition to come...

Practice Associates & Co-Workers

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

18 Associated Practitioners
Wendy Baribeau , LAMFT

Marriage & Family Therapist

NPI 1093322398
Mindy Pierce

Counselor - Professional

NPI 1164802724
Amparo Soto , OT

Occupational Therapist

NPI 1225317555

Occupational Therapist

NPI 1275831729

Physical Therapist

Dr. Judy Kerley , PhD

Psychologist - Clinical

NPI 1316019029

Doctor of Philosophy (Ph.D.)

John Bove , PT

Physical Therapist

NPI 1437344322

Physical Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 18, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2020

Registered at 4411 SUWANEE DAM RD, SUWANEE, GA 300248701 (Tel: 6789938464)

📍
Updated Business Mailing Address September 18, 2020

Registered at 180 PIONEER DR, ATHENS, GA 306054016 (Tel: 4042598465)

👤
Provider Name / Credentials Updated September 18, 2020

Recorded as TRACY CULLOM, MA, LAPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2020

Counselor (License #APC007578 in GA)

🟢
Initial NPI Registration & Enumeration September 18, 2020

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: 1811503402
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 18, 2020
Last Update: September 18, 2020
Sole Proprietor: Yes

Mailing Address

180 Pioneer Dr

Athens, GA 306054016

Phone: 4042598465

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.