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MS. JANCEY SHELLNUTT WILSON LPC
NPI 1053854349
Counselor - Professional in Thomaston, GA

Active since November 18, 2016PECOS EnrolledAccepts Medicare Assignment
124 TYLER LN, THOMASTON, GA 30286(706) 647-7718 Get Directions Write a Review

NPPES record last updated: November 18, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1053854349
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. JANCEY SHELLNUTT WILSONCredential: LPC
Location Address124 TYLER LNThomaston, GA 30286-1454
Mailing Address124 Tyler LnThomaston, GA 30286-1454 · (706) 647-7718
Phone(706) 647-7718
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateNovember 18, 2016
✔ NPI 1053854349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC008331
124 TYLER LN, Thomaston, GA 30286
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Other Names 1

Professional Name (2)Ms. Jancey Shellnutt Wilson Lpc

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID5496280208
PECOS Enrollment IDI20241203000026
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.

Frequently Asked Questions

What is Jancey Wilson's NPI number?

The NPI number assigned to this healthcare provider is 1053854349, enumerated as an "individual" on November 18, 2016.

Where is the provider located?

The provider is located at 124 TYLER LN THOMASTON, GA 30286 and the phone number is (706) 647-7718.

What is the provider's specialty?

Counselor with taxonomy code 101YP2500X and a focus in Professional.