EDWARD PATRICK JR. CRAVEN – Professional Counselor, NPI 1558905992

EDWARD PATRICK JR. CRAVEN is a healthcare provider. based in Smyrna, Georgia. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 010637 (GA). The NPI Number for EDWARD PATRICK JR. CRAVEN is 1558905992

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD PATRICK JR. CRAVEN
NPI
1558905992
Phone
(678) 938-8852
Address
2810 NORTHPLACE WAY SE
Enumeration Date
29 October 2019
Last Update Date
29 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6784444505
Graduation Year
2010 (16 years ago)
PAC ID
1557890530
Group Practice PAC ID
8820438716
Professional Enrollment ID
I20250121000393
Address ID
GA300921814PE4006XRDXX401

Contacts

Secure Messaging
info@rootswc.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

1,201 MENTAL HEALTH COUNSELOR in GA

Provider Addresses for EDWARD PATRICK JR. CRAVEN

  • 2810 NORTHPLACE WAY SE

    SMYRNA, GA 300808615

    Phone: (678) 938-8852

    Type: Mailing

  • 3745 CHEROKEE ST NW STE 607

    KENNESAW, GA 301446733

    Phone: (770) 499-0140

    Fax: (770) 499-0147

    Type: Location

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: 2025-01-21

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
I20250121000393IMental 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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 30080)

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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: 8820438716View full group profile
NameSpecialtyState
Mental Health CounselorGA
Mental Health CounselorGA
Mental Health CounselorPA
Mental Health CounselorGA
Mental Health CounselorMI
Mental Health CounselorGA
Clinical Social WorkerGA
Clinical Social WorkerNJ
Mental Health CounselorGA
Mental Health CounselorGA

Reviews

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Frequently asked questions

What unique ID ties claims to EDWARD PATRICK JR. CRAVEN?
NPI 1558905992 is assigned to EDWARD PATRICK JR. CRAVEN under the national enumeration system.
Is EDWARD PATRICK JR. CRAVEN active in the national directory?
EDWARD PATRICK JR. CRAVEN's public NPI profile is in an active state.
What field does EDWARD PATRICK JR. CRAVEN work in?
You can think of EDWARD PATRICK JR. CRAVEN as practicing within Professional Counselor. Clinical services aligned with this taxonomy classification.
Does EDWARD PATRICK JR. CRAVEN practice in Georgia?
You will see Smyrna, Georgia on file for EDWARD PATRICK JR. CRAVEN alongside any extra practice locations.
How can I contact EDWARD PATRICK JR. CRAVEN?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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