DR. GREG SWAN SWANSON (PH.D.) – Clinical Psychologist, NPI 1730117433

DR. GREG SWAN SWANSON (PH.D.) is a healthcare provider. based in Bentonville, Virginia. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PSY000604 (GA). The NPI Number for DR. GREG SWAN SWANSON (PH.D.) is 1730117433

Main info

Male
Sole Proprietor
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. GREG SWAN SWANSON (PH.D.)
NPI
1730117433
Phone
(706) 284-7203
Address
103 RIDGE BROOK LN
Enumeration Date
29 June 2006
Last Update Date
20 March 2023

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
7062847203
Graduation Year
1977 (49 years ago)
PAC ID
5991875585
Professional Enrollment ID
I20230308002952
Address ID
VA22610XXXXBEXXXXXXXXXX00
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

667 CLINICAL PSYCHOLOGIST in VA

Provider Addresses for DR. GREG SWAN SWANSON (PH.D.)

  • 103 RIDGE BROOK LN

    BENTONVILLE, VA 226102372

    Phone: (706) 284-7203

    Type: Mailing

  • 3633, Wheeler Road, Augusta, Richmond County, Georgia, 30909, United States

    SUITE 110

    AUGUSTA, GA 309096549

    Phone: (706) 855-7784

    Fax: (706) 651-1090

    Type: Mailing

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: 2023-03-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080609000740IClinical PsychologistGATBD
I20230308002952IClinical PsychologistVATBD

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 22610)

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Reviews

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Frequently asked questions

What is the registry number for DR. GREG SWAN SWANSON (PH.D.)?
The registry entry for DR. GREG SWAN SWANSON (PH.D.) shows NPI 1730117433.
Should I treat DR. GREG SWAN SWANSON (PH.D.) as an active provider?
Patients and plans typically see DR. GREG SWAN SWANSON (PH.D.) as active in the national extract.
What services align with DR. GREG SWAN SWANSON (PH.D.)'s listing?
DR. GREG SWAN SWANSON (PH.D.)'s public classification highlights Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Can patients visit DR. GREG SWAN SWANSON (PH.D.) in Bentonville, Virginia?
For routing, start with Bentonville, Virginia for DR. GREG SWAN SWANSON (PH.D.), then verify phone and hours locally.
Can I export DR. GREG SWAN SWANSON (PH.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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