NPI registry status
Active
2026 NPPES data Mental Health Counselor NPI 1174779177
Verify on CMS → Anthony Medina
Mental Health Counselor in Suwanee, Georgia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 293,893 in Mental Health Counselor, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
340
Medicare Part D claims · 123 beneficiaries · Mental Health Counselor avg: 1K
Generic prescribing
90%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Anthony Medina filed 340 Medicare Part D claims in 2023 as a Mental Health Counselor in Suwanee, Georgia, prescribing 90% generic.
- 340
- Part D claims, 2023
- 90%
- generic prescribing
- ≥57th
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
CMS NPPES provider registry desk
NPI 1174779177 · Mental Health Counselor
NPI-10 · ENUM-MID · TAX-MEGA · RX-LIGHT · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1174779177
- ENUM-MID 2008
- TAX-MEGA 294K Mental Health
- RX-LIGHT 340
- BOOK-LIGHT 4,906 in Georgia
- PHOTO-ENUM Susan Haggag · 2008
Anthony Medina's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
340 ≥ 57th percentile 57% of 1,370,886 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Anthony Medina?
Quality data not reportedPrimary specialty
Mental Health Counselor
Medicare Part D claims
340 68% vs specialty avg
Specialty distribution in Georgia
How Mental Health Counselor compares to other specialties among Georgia providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Mental Health Counselor. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1174779177 |
|---|---|
| Specialty | Mental Health Counselor |
| Gender | Male |
| NPI Issued | 08/11/2008 |
Hospital and facility affiliations
Facilities where Anthony Medina bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Dawoud
Duluth, GA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Generic-heavy
Anthony Medina - brand share 5.0%
Mental Health Counselor average
5% brand-name claims vs 90% generic, on 340 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
340
Total Claims
$9K
Total Drug Cost
123
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 401
- Total Day Supply
- 6,162
- Brand vs Generic
- 5% brand / 90% generic
- Brand Drug Cost
- $6K
- Generic Drug Cost
- $3K
- Antibiotic Claims
- 90
Patient Demographics
- Average Patient Age
- 69.5 years
- Avg HCC Risk Score
- 1.26
- Gender Split
- 71% female / 29% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Anthony Medina prescribes most
Top Medicare Part D drugs by claim count, 2023
- Prednisone
Prednisone
79 claims
- Azithromycin
Azithromycin
43 claims
- Paxlovid (Eua) 17
Paxlovid (Eua)
17 claims
- Amoxicillin-Clavul… 16
Amoxicillin-Clavulanate Potass
16 claims
- Ibuprofen 15
Ibuprofen
15 claims
- Cyclobenzaprine Hcl 11
Cyclobenzaprine Hcl
11 claims
| Drug | Claims |
|---|---|
| Prednisone | 79 |
| Azithromycin | 43 |
| Paxlovid (Eua) Nirmatrelvir/Ritonavir | 17 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 16 |
| Ibuprofen | 15 |
| Cyclobenzaprine Hcl | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Mental Health Counselor Overview
How Anthony Medina fits within the Mental Health Counselor landscape nationally.
293,893
Mental Health Counselor Providers in US
55
States with Mental Health Counselor
1,063
Avg Claims per Provider
Anthony Medina's 340 claims are below the specialty average of 1,063.
Nationwide Mental Health Counselor peers with similar MIPS or enrollment year
Two federal-record peer sets for Medina, both outside Georgia so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2008)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Mental Health Counselor Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as Medina.
One of 4,906 Mental Health Counselor providers enrolled in Georgia, 5 are shown here.
Dr. Rebecca Aaron
MAMFT, LAPC
Atlanta, GA
Michele Abdul-Qawiy
Kingston, GA
Aliyah Abdur-Rahman
Decatur, GA
Dr. Kourtnay Abernathy
MS
Atlanta, GA
Riley Abernathy
Dallas, GA
Compare Mental Health Counselor nationally: see state-by-state distribution →
Frequently Asked Questions
What is Anthony Medina's specialty? ▼
Anthony Medina specializes in Mental Health Counselor and practices in Suwanee, Georgia.
How much does Anthony Medina prescribe under Medicare Part D? ▼
In 2023, Anthony Medina wrote 340 Medicare Part D claims totaling $9K in drug costs for 123 beneficiaries.
Where is Anthony Medina located? ▼
Anthony Medina is located at 2696 LAWRENCEVILLE SUWANEE RD, Suwanee, GA, 30024. Phone: (678) 376-1300.
What is Anthony Medina's NPI number? ▼
Anthony Medina's National Provider Identifier (NPI) is 1174779177, issued on 08/11/2008.
Does Anthony Medina prescribe more brand-name or generic drugs? ▼
Anthony Medina's prescribing is 5% brand-name and 90% generic drugs by claim count, with $6K in brand drug costs.
How many Mental Health Counselor providers are there in the US? ▼
There are 293,893 Mental Health Counselor providers across 55 states in the US. The average Mental Health Counselor provider writes 1,063 Medicare Part D claims per year.
What drugs does Anthony Medina prescribe most often? ▼
Based on 2023 Medicare Part D data, Anthony Medina's most frequently prescribed drugs include Prednisone, Azithromycin, Paxlovid (Eua). This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Anthony Medina accept Medicare? ▼
Anthony Medina appears in CMS Medicare data with 340 Part D claims and 123 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Anthony Medina's credentials? ▼
Anthony Medina's NPI is 1174779177. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.