DR. LINDA GUILLARD PUGH (PHD) – Mental Health Counselor, NPI 1003668278

DR. LINDA GUILLARD PUGH (PHD) is a healthcare provider. based in Tyrone, Georgia. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials PHD. They hold a License No. LPC014603 (GA). The NPI Number for DR. LINDA GUILLARD PUGH (PHD) is 1003668278

Main info

Female
5 Years Of Experience
Name
DR. LINDA GUILLARD PUGH (PHD)
NPI
1003668278
Phone
(770) 683-9375
Address
100 GLENDALOUGH CT STE E
Enumeration Date
2 April 2024
Last Update Date
2 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4049601282
Graduation Year
2021 (5 years ago)
PAC ID
7517495013
Group Practice PAC ID
5092014175
Professional Enrollment ID
I20250113000263
Address ID
GA302773531SH4006XEXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,201 MENTAL HEALTH COUNSELOR in GA

Provider Addresses for DR. LINDA GUILLARD PUGH (PHD)

  • 100 GLENDALOUGH CT STE E

    TYRONE, GA 302902942

    Phone: (770) 683-9375

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250113000263IMental Health CounselorGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30290)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092014175View full group profile
NameSpecialtyState
Mental Health CounselorGA
Marriage And Family TherapistGA
Clinical PsychologistGA
Mental Health CounselorGA
Mental Health CounselorGA
Clinical Social WorkerNC
Clinical Social WorkerGA
Clinical Social WorkerGA
Mental Health CounselorGA
Mental Health CounselorGA

Reviews

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Frequently asked questions

Does DR. LINDA GUILLARD PUGH (PHD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. LINDA GUILLARD PUGH (PHD) uses 1003668278.
Can I rely on DR. LINDA GUILLARD PUGH (PHD) being an active provider?
As of the registry snapshot, DR. LINDA GUILLARD PUGH (PHD) is marked active.
What is DR. LINDA GUILLARD PUGH (PHD) best known for clinically?
Directory data describes DR. LINDA GUILLARD PUGH (PHD) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where is DR. LINDA GUILLARD PUGH (PHD) based?
DR. LINDA GUILLARD PUGH (PHD) is tied to Tyrone, Georgia in the data we show; additional addresses may exist on the full record.
Why does DR. LINDA GUILLARD PUGH (PHD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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