Fort Valley Outpatient - Medicare Mental Health Clinic in Fort Valley, GA

Fort Valley Outpatient is a medicare enrolled mental health clinic (Community/behavioral Health) in Fort Valley, Georgia. The current practice location for Fort Valley Outpatient is 410 E Church St, Fort Valley, Georgia. For appointments, you can reach them via phone at (478) 825-6499. The mailing address for Fort Valley Outpatient is Po Box 1348, Americus, Georgia and phone number is (229) 815-5454.

Fort Valley Outpatient is licensed to practice in Georgia (license number ). The clinic also participates in the medicare program and its NPI number is 1366521932. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (478) 825-6499.

Contact Information

Fort Valley Outpatient
410 E Church St
Fort Valley
GA 31030-3097
(478) 825-6499
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameFort Valley Outpatient
SpecialityCommunity/Behavioral Health
Location410 E Church St, Fort Valley, Georgia
Authorized Official Name and PositionMargaret Jordan (RCM MANAGER)
Authorized Official Contact2298155286
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fort Valley Outpatient
Po Box 1348
Americus
GA 31709-1348

Ph: (229) 815-5454
Fort Valley Outpatient
410 E Church St
Fort Valley
GA 31030-3097

Ph: (478) 825-6499

NPI Details:

NPI Number1366521932
Provider Enumeration Date11/03/2006
Last Update Date01/29/2024
Certification Date01/29/2024

Medicare PECOS Information:

Medicare PECOS PAC ID3274426150
Medicare Enrollment IDO20040204000828

Medical Identifiers

Medical identifiers for Fort Valley Outpatient such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366521932NPI-NPPES
000604502BMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Fort Valley Outpatient acts as a billing entity for following providers:
Provider NameJaymal R. Patel
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1962433599
PECOS PAC ID: 3779474010
Enrollment ID: I20040324000650
Provider NameMarsha E Kinnett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538110598
PECOS PAC ID: 0547238925
Enrollment ID: I20040923000143
Provider NameEric C Fan
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1629191663
PECOS PAC ID: 6507826302
Enrollment ID: I20041015000600
Provider NameMichelle B Fan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437272796
PECOS PAC ID: 6204896988
Enrollment ID: I20041018000054
Provider NameWallace D Mays
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1881667988
PECOS PAC ID: 2264474725
Enrollment ID: I20050527000005
Provider NameHenry S Teaford
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1013070564
PECOS PAC ID: 0941220503
Enrollment ID: I20051129000401
Provider NameKenneth E Dinella
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1992921126
PECOS PAC ID: 8022160639
Enrollment ID: I20090713000333
Provider NameRoseline A Makinde
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902108491
PECOS PAC ID: 5193904506
Enrollment ID: I20110131000831
Provider NameGlendell B Coleman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962755421
PECOS PAC ID: 4688826514
Enrollment ID: I20121128000649
Provider NameCornelius C Grimes
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1710265145
PECOS PAC ID: 2062664709
Enrollment ID: I20121204000362
Provider NameDaniela L Torres
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104232941
PECOS PAC ID: 7719107028
Enrollment ID: I20141009001101
Provider NameNurul I Hoque
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1912109505
PECOS PAC ID: 2163597170
Enrollment ID: I20150708000183
Provider NameMichael Barrow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497111207
PECOS PAC ID: 2062716723
Enrollment ID: I20160202001326
Provider NameMichayala K Bush
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396288684
PECOS PAC ID: 1355625062
Enrollment ID: I20170224000502
Provider NameMegan W Alligood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225534670
PECOS PAC ID: 9335499292
Enrollment ID: I20180913003429
Provider NameSheldon Brown
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1972985273
PECOS PAC ID: 8527376524
Enrollment ID: I20190814002780
Provider NameDanielle A Andrews
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578081618
PECOS PAC ID: 2961769526
Enrollment ID: I20190827002563
Provider NameMarlanea Jarrell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013501857
PECOS PAC ID: 3678973476
Enrollment ID: I20210616001271
Provider NameKathleen A Yngayo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386251452
PECOS PAC ID: 0941682892
Enrollment ID: I20220809001852
Provider NameDeepa Sobti
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1124058458
PECOS PAC ID: 3577564566
Enrollment ID: I20220822001183
Provider NameChiamaka J Anosike
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407594757
PECOS PAC ID: 5597132514
Enrollment ID: I20221104000330
Provider NameKiana Yvette Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811630544
PECOS PAC ID: 4284084203
Enrollment ID: I20240103000294
Provider NameBenjamin Gatliff
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1316276645
PECOS PAC ID: 3779924071
Enrollment ID: I20240517001730

Reviews and Comments

Community/Behavioral Health in Fort Valley, GA

The Peach Pit
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Phone: 478-293-8503    
The Pinkney Counseling Group, Llc
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Phone: 478-397-1471    
Dr. Wanda D. Hugget
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Medicare: Not Enrolled in Medicare
Practice Location: 700 Martin Luther King Jr Dr, Fort Valley, GA 31030
Phone: 478-216-8252    Fax: 478-845-0478
Classroom21
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Medicare: Not Enrolled in Medicare
Practice Location: 527 Railroad St, Fort Valley, GA 31030
Phone: 478-396-5489    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.