MS. JANCEY SHELLNUTT WILSON LPC
NPI 1053854349
Counselor - Professional in Thomaston, GA
About Ms. Jancey Shellnutt Wilson Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JANCEY SHELLNUTT WILSON LPC (NPI 1053854349) is an individual professional provider in Thomaston, Georgia, licensed in Georgia (LPC008331) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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
Ms. Jancey Shellnutt Wilson Lpc 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 Jancey Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Griffin, GA 30224
- Reassigned Medicare billing, Georgia enrollment
- 49 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 Jancey Wilson's NPI number?
The NPI number for Jancey Wilson is 1053854349. It was assigned to this individual provider in the NPPES registry on November 18, 2016. The provider is also known as Ms. Jancey Shellnutt Wilson Lpc.
Where is Jancey Wilson located?
Jancey Wilson practices at 124 Tyler Ln, Thomaston, GA 30286. The listed phone number is (706) 647-7718.
What is Jancey Wilson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jancey Wilson enrolled in Medicare?
Yes. Jancey Wilson 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 Jancey Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jancey Wilson reassigns Medicare benefits to Mcintosh Trail Community Service Board (Griffin, 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 Jancey Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jancey Wilson accept?
Health plans from Oscar Health list Jancey Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jancey Wilson was last updated on November 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Ms. Jancey Shellnutt Wilson, LPC · NPI 1053854349
Professional provider in Thomaston, Georgia. Individual provider, active in the CMS NPPES registry since November 18, 2016.
## Identity
- **NPI:** 1053854349 (Entity type: Individual)
- **Enumerated:** November 18, 2016
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC008331 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 124 TYLER LN, Thomaston, GA 30286-1454
- **Phone:** (706) 647-7718
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mcintosh Trail Community Service Board (NPI 1295903862, Griffin, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** November 18, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1053854349) · Data from the CMS NPPES public registry.