Joseph Drew Bazemore
Counselor, Mental Health in Cartersville, GA. Individual provider (NPI-1).
NPI number1508679028
StatusActive
Last updated in NPPESJan 29, 2025
Details
- NPI
- 1508679028
- Entity type
- Individual (NPI-1)
- Name
- Joseph Drew Bazemore
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 29, 2025
- Certification date
- Jan 29, 2025
- Last updated
- Jan 29, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
200 Leake St Ste 106Cartersville, GA 30120-3562
Phone 770-615-0218
Mailing address
406 Woodbridge DrDallas, GA 30157-0520
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 44 Mental Health Counselor providers in Cartersville · All 1,345 providers in Cartersville
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