ANTOINETTE BYNUM LPC
NPI 1083431274
Counselor in Milledgeville, GA

Active since September 20, 2024PECOS EnrolledAccepts Medicare Assignment
1371 ORCHARD HILL RD, MILLEDGEVILLE, GA 31061(478) 445-4817 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 29, 2026, Sep 20, 2024 (2 updates tracked since 2024).

About Antoinette Bynum Lpc NPPES

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

ANTOINETTE BYNUM LPC (NPI 1083431274) is an individual counselor in Milledgeville, Georgia, licensed in Georgia (LPC014701) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rome, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1083431274
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameANTOINETTE BYNUMCredential: LPC
Location Address1371 ORCHARD HILL RDMilledgeville, GA 31061-2551
Mailing Address1824 Timberlane RdMilledgeville, GA 31061-2138
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 20, 2024
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1083431274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in GA · LPC014701
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1371 ORCHARD HILL RD, Milledgeville, GA 31061

Secondary Practice Location 1

Location 11345 Redmond Cir NWRome, GA 30165-1307 · Phone (910) 742-9243 · Fax (888) 746-1787

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

Antoinette Bynum 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 ID143799486
PECOS Enrollment IDI20260515003141
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 Reassignments

2

Medicare enrollment records show Antoinette Bynum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
3635 SILVER SPRINGS RD
Cumming, GA 30041
  • Reassigned Medicare billing, Georgia enrollment
  • 5 clinicians in this Medicare group
General Practice
1345 REDMOND CIR NW
Rome, GA 30165
  • Reassigned Medicare billing, Georgia enrollment
  • 92 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.

Other Providers at the Same Location NPPES 4

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

Marriage & Family Therapist
1371 ORCHARD HILL RD
MILLEDGEVILLE, GA 31061
Nurse Practitioner (Psychiatric/Mental Health)
1371 ORCHARD HILL RD
MILLEDGEVILLE, GA 31061
Community/Behavioral Health
1371 ORCHARD HILL RD
MILLEDGEVILLE, GA 31061
Pediatrics
1371 ORCHARD HILL RD
MILLEDGEVILLE, GA 31061

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 Antoinette Bynum's NPI number?

The NPI number for Antoinette Bynum is 1083431274. It was assigned to this individual provider in the NPPES registry on September 20, 2024.

Where is Antoinette Bynum located?

Antoinette Bynum practices at 1371 Orchard Hill Rd, Milledgeville, GA 31061. The listed phone number is (478) 445-4817.

What is Antoinette Bynum's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Antoinette Bynum enrolled in Medicare?

Yes. Antoinette Bynum 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 organizations bill Medicare for Antoinette Bynum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antoinette Bynum reassigns Medicare benefits to 2 organizations: Bluegold Health LLC (Cumming, GA) and Lifesource Of North Carolina (Rome, GA). Each 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 Antoinette Bynum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Antoinette Bynum accept?

Health plans from Alliant Health Plans, Inc. list Antoinette Bynum 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 Antoinette Bynum was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.