Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JENNIFER POORE
NPI 1093013005
Counselor - Professional in Leesburg, GA

Active since March 01, 2011PECOS Enrolled
235 WINNSTEAD DR, LEESBURG, GA 31763(229) 869-6735 Get Directions Write a Review

NPPES record last updated: July 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 26, 2026, Jul 16, 2018 (2 updates tracked since 2018).

About Jennifer Poore NPPES

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

JENNIFER POORE (NPI 1093013005) is an individual professional provider in Leesburg, Georgia, licensed in Georgia (LPC009959) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1093013005
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNIFER POORE
Location Address235 WINNSTEAD DRLeesburg, GA 31763-5376
Mailing AddressPo Box 71461Albany, GA 31708-1461 · (229) 869-6735
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 1, 2011
Last NPPES UpdateJuly 26, 20262 updates tracked since enumeration
NPPES CertifiedJuly 26, 2026
NPI 1093013005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in GA · LPC009959 Licensed in SC · 11369
235 WINNSTEAD DR, Leesburg, GA 31763

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

Jennifer Poore 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 ID7517310907
PECOS Enrollment IDI20240201002634
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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Poore's NPI number?

The NPI number for Jennifer Poore is 1093013005. It was assigned to this individual provider in the NPPES registry on March 1, 2011.

Where is Jennifer Poore located?

Jennifer Poore practices at 235 Winnstead Dr, Leesburg, GA 31763. The listed phone number is (229) 869-6735.

What is Jennifer Poore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jennifer Poore enrolled in Medicare?

Yes. Jennifer Poore 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.

When was this NPI record last updated?

The NPPES record for Jennifer Poore was last updated on July 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.