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DENECIA GUILFORD PMHNP
NPI 1063226488
Psychiatry & Neurology - Psychiatry in Athens, GA

Active since February 05, 2025PECOS EnrolledAccepts Medicare Assignment
126 BARRINGTON DR, ATHENS, GA 30605(706) 389-6790 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 10, 2025, Feb 5, 2025 (2 updates tracked since 2025).

About Denecia Guilford Pmhnp NPPES

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

DENECIA GUILFORD PMHNP (NPI 1063226488) is an individual psychiatry provider in Athens, Georgia, licensed in Georgia (300381) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063226488
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDENECIA GUILFORDCredential: PMHNP
Location Address126 BARRINGTON DRAthens, GA 30605-3580
Mailing Address352 Koweta WayGrovetown, GA 30813-7020 · (850) 533-2129
Phone(706) 389-6790
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 5, 2025
Last NPPES UpdateFebruary 10, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
✔ NPI 1063226488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in GA · 300381
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License 300381 (GA)
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 300381 (GA)
Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X · License 300381 (GA)
126 BARRINGTON DR, Athens, GA 30605
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Denecia Guilford Pmhnp 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 ID749702884
PECOS Enrollment IDI20250319000464
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.

Medicare Billing Reassignment

Medicare enrollment records show Denecia Guilford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advantage Behavioral Health Systems
4.6 mi
Mental Health (Including Community Mental Health Center)
250 NORTH AVE
Athens, GA 30601
  • Reassigned Medicare billing, Georgia enrollment
  • 69 clinicians in this Medicare group
NPI 1942270558 (706) 542-9739

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$164.04 typical visit price
range $53.31 – $164.04
Typical copayment $41.01 (range $13.32 – $41.01)
Most-billed visit code 99205
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

ADVANTAGE BEHAVIORAL HEALTH SYSTEMS
Clinic/Center (Developmental Disabilities)
126 BARRINGTON DR
ATHENS, GA 30605
Clarke County (706) 389-6789
ATHENA HOSPICE, LLC
Hospice Care, Community Based
126 BARRINGTON DR
ATHENS, GA 30605
Clarke County (706) 850-9300
A.C.T. HOME CARE, INC.
Home Health
126 BARRINGTON DR, SUITE B
ATHENS, GA 30605
Clarke County (706) 559-4432

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 Denecia Guilford's NPI number?

The NPI number for Denecia Guilford is 1063226488. It was assigned to this individual provider in the NPPES registry on February 5, 2025.

Where is Denecia Guilford located?

Denecia Guilford practices at 126 Barrington Dr, Athens, GA 30605. The listed phone number is (706) 389-6790.

What is Denecia Guilford's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Denecia Guilford enrolled in Medicare?

Yes. Denecia Guilford 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 Denecia Guilford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denecia Guilford reassigns Medicare benefits to Advantage Behavioral Health Systems (Athens, 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 Denecia Guilford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denecia Guilford accept?

Health plans from Oscar Health list Denecia Guilford 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 Denecia Guilford was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.