MEDICARE: JAMES HUMMEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	010963	GA

General Provider Information

NPI Number	:	1548116833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES HUMMEL

Provider Business Mailing Address
First Line	:	2854 GREENBROOK WAY NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30345-3604
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1950 SPECTRUM CIR SE
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30067-8479
Country	:	US
Telephone Number	:	678-921-2706
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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