P Praxis·MD
● Active Type 1 · Individual

MR. Marty Dewayne Brock, M.A., CCAADC

Counselor·Bainbridge, GA· NPI 1427485036 · Enumerated 2013 · 12 years on NPI
Brock is 1 of 1 counselor providers in Bainbridge and 1 of 162 in Georgia.
NPI age
12 years
Enumerated 2013-09-27
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-09-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 162 active counselor providers in Georgia.

NPI age
12 years
↑ 6 yr above median (6 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
1
In the 25% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-09Enumerated in NPPES
2013 2026

Where they practice

Practice location
214 Prosperity Church Rd
Bainbridge, GA 398178278
📞 2292202275
Mailing address
214 Prosperity Church Rd
Bainbridge, GA 398178278
📞 2292202275

Specialties

  • Counselor Primary
    Definition to come...
    GA license #10114352 taxonomy 101YP1600X
  • Counselor
    Definition to come...
    GA license #C0115 taxonomy 101YA0400X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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