LYVONNA VONSHELL CHISHOLM
NPI 1023501640
Counselor - Professional in Savannah, GA
About Lyvonna Vonshell Chisholm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYVONNA VONSHELL CHISHOLM (NPI 1023501640) is an individual professional provider in Savannah, Georgia, licensed in Georgia (LPC010074) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lyvonna Vonshell Chisholm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Lyvonna Chisholm reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Savannah, GA 31408
- Reassigned Medicare billing, Georgia enrollment
- 75 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lyvonna Chisholm's NPI number?
The NPI number for Lyvonna Chisholm is 1023501640. It was assigned to this individual provider in the NPPES registry on June 8, 2018.
Where is Lyvonna Chisholm located?
Lyvonna Chisholm practices at 250 Cromer St, Savannah, GA 31407. The listed phone number is (912) 844-5629.
What is Lyvonna Chisholm's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Lyvonna Chisholm enrolled in Medicare?
Yes. Lyvonna Chisholm is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Lyvonna Chisholm's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lyvonna Chisholm reassigns Medicare benefits to Curtis V. Cooper Primary Health Care, Inc (Savannah, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lyvonna Chisholm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lyvonna Chisholm was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lyvonna Vonshell Chisholm · NPI 1023501640
Professional provider in Savannah, Georgia. Individual provider, active in the CMS NPPES registry since June 8, 2018.
## Identity
- **NPI:** 1023501640 (Entity type: Individual)
- **Enumerated:** June 8, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC010074 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 250 CROMER ST, Savannah, GA 31407-4801
- **Phone:** (912) 844-5629
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Curtis V. Cooper Primary Health Care, Inc (NPI 1316972599, Savannah, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** October 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1023501640) · Data from the CMS NPPES public registry.