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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DEMORNE' BETTIS MAXWELL
NPI 1033884424
Counselor - Mental Health in Atlanta, GA

Active since August 09, 2021PECOS Enrolled
1030 FAYETTEVILLE RD SE, ATLANTA, GA 30316(404) 486-9034 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 2, 2026, Aug 9, 2021 (2 updates tracked since 2021).

About Demorne' Bettis Maxwell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEMORNE' BETTIS MAXWELL (NPI 1033884424) is an individual mental health provider in Atlanta, Georgia and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033884424
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDEMORNE' BETTIS MAXWELL
Location Address1030 FAYETTEVILLE RD SEAtlanta, GA 30316-2921
Mailing Address1030 Fayetteville Rd SeAtlanta, GA 30316-2921
Phone(404) 486-9034
Sole ProprietorNo
Enumeration DateAugust 9, 2021
Last NPPES UpdateSeptember 2, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1033884424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1030 FAYETTEVILLE RD SE, Atlanta, GA 30316
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Other Names 1

Former Name (1)Deedee Bettis Maxwell

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Demorne' Bettis Maxwell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAITH MICHELE HOLSTON
Counselor (Professional)
1030 FAYETTEVILLE RD SE
ATLANTA, GA 30316
Fulton County (404) 486-9034
DESTYNY SPARKS
Counselor (Mental Health)
1030 FAYETTEVILLE RD SE
ATLANTA, GA 30316
Fulton County (404) 486-9034
STACIA ROSE KING MSW
Counselor (Mental Health)
1030 FAYETTEVILLE RD SE
ATLANTA, GA 30316
Fulton County (404) 828-0871
ALEXIS BOSSE LAPC
Counselor (Mental Health)
1030 FAYETTEVILLE RD SE
ATLANTA, GA 30316
Fulton County (404) 489-9034
LISA COOPER
Counselor (Mental Health)
1030 FAYETTEVILLE RD SE
ATLANTA, GA 30316
Fulton County (404) 486-9034
JORDAAN MARTIN HOUSTON
Counselor (Mental Health)
1030 FAYETTEVILLE RD SE
ATLANTA, GA 30316
Fulton County (404) 486-9034
LATOYIA A HARRIS
Counselor (Mental Health)
1030 FAYETTEVILLE RD SE
ATLANTA, GA 30316
Fulton County (404) 486-9034
SASHA PARRIS AFESO MSW
Social Worker (School)
1030 FAYETTEVILLE RD SE
ATLANTA, GA 30316
Fulton County (404) 486-9034

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 Demorne' Bettis Maxwell's NPI number?

The NPI number for Demorne' Bettis Maxwell is 1033884424. It was assigned to this individual provider in the NPPES registry on August 9, 2021. The provider is also known as Deedee Bettis Maxwell.

Where is Demorne' Bettis Maxwell located?

Demorne' Bettis Maxwell practices at 1030 Fayetteville Rd SE, Atlanta, GA 30316. The listed phone number is (404) 486-9034.

What is Demorne' Bettis Maxwell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Demorne' Bettis Maxwell enrolled in Medicare?

Yes. Demorne' Bettis Maxwell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Demorne' Bettis Maxwell was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.