Changing Phases Behavioral Support, Inc - Medicare Primary Care in Marietta, GA

Changing Phases Behavioral Support, Inc is a medicare enrolled primary clinic (Community/behavioral Health) in Marietta, Georgia. The current practice location for Changing Phases Behavioral Support, Inc is 3655 Canton Rd Ste 201, Marietta, Georgia. For appointments, you can reach them via phone at (707) 261-1627. The mailing address for Changing Phases Behavioral Support, Inc is 3655 Canton Rd, Marietta, Georgia and phone number is (770) 726-1162.

Changing Phases Behavioral Support, Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1497094205. 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 (707) 261-1627.

Contact Information

Changing Phases Behavioral Support, Inc
3655 Canton Rd Ste 201
Marietta
GA 30066
(707) 261-1627
(707) 702-5966

Map and Direction


Primary Care Clinic Profile

Full NameChanging Phases Behavioral Support, Inc
SpecialityCommunity/Behavioral Health
Location3655 Canton Rd Ste 201, Marietta, Georgia
Authorized Official Name and PositionMya S Cullins (VICE PRESIDENT)
Authorized Official Contact3362686469
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Changing Phases Behavioral Support, Inc
3655 Canton Rd
Marietta
GA 30066-2690

Ph: (770) 726-1162
Changing Phases Behavioral Support, Inc
3655 Canton Rd Ste 201
Marietta
GA 30066

Ph: (707) 261-1627

NPI Details:

NPI Number1497094205
Provider Enumeration Date02/14/2013
Last Update Date08/17/2018

Medicare PECOS Information:

Medicare PECOS PAC ID4183978729
Medicare Enrollment IDO20181116001202

Medical Identifiers

Medical identifiers for Changing Phases Behavioral Support, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497094205NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 25937 (Georgia)Secondary
251S00000XCommunity/behavioral Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Changing Phases Behavioral Support, Inc acts as a billing entity for following providers:
Provider NameMiles D Johnson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568419844
PECOS PAC ID: 2466437157
Enrollment ID: I20040618000358
Provider NameMichael Austin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134155153
PECOS PAC ID: 3870543861
Enrollment ID: I20050127000429
Provider NameTurquoise Allen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013458918
PECOS PAC ID: 3476891359
Enrollment ID: I20190610003085

Reviews and Comments


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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.