Ian Mudge, L.P.C.
NPI 1700414539 · Professional Counselor · Stone Mountain, GA
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ian Mudge, L.P.C. is a Professional Counselor provider in Stone Mountain, GA (NPI 1700414539).
Provider details
- NPI number
- 1700414539
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- L.P.C.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2999 Piedmont Rd Ne Ste 100Atlanta, GA 30305-2792Phone: (862) 201-3495
Registry dates
- Enumerated
- 2020-03-28
- Last updated
- 2024-07-11
- Certified
- 2024-07-11
Frequently asked questions
- What is Ian Mudge's NPI number?
- Ian Mudge's National Provider Identifier (NPI) is 1700414539, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ian Mudge's specialty?
- Ian Mudge is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Ian Mudge located?
- Ian Mudge's practice location on file with NPPES is 5320 Cumberland Way, Stone Mountain, GA 30087-4211.
- What is Ian Mudge's phone number?
- The practice phone number listed in the NPPES registry for Ian Mudge is (862) 201-3495.
- Does Ian Mudge accept Medicare?
- Ian Mudge is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ian Mudge's NPI active?
- Yes — Ian Mudge's NPI (1700414539) is active in the NPPES registry as of the last update on 2024-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.