JENNIFER POORE
NPI 1093013005
Counselor - Professional in Leesburg, GA

Active since March 01, 2011PECOS EnrolledAccepts Medicare Assignment
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: November 01, 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

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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jennifer Poore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Public Health or Welfare
1120 W BROAD AVE
Albany, GA 31707
  • Reassigned Medicare billing, Georgia enrollment
  • 37 clinicians in this Medicare group
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Georgia enrollment
  • 232 clinicians in this Medicare group
Community/Behavioral Health
1951 NW 7TH AVE FL 3
Miami, FL 33136
  • Reassigned Medicare billing, Georgia enrollment
  • 27 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 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.

Which organizations bill Medicare for Jennifer Poore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Poore reassigns Medicare benefits to 3 organizations: Albany Area Community Svc. Board (Albany, GA), Mental Health Specialty Group PA (Durham, NC) and Brave Health Medical Group PA (Miami, FL). 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 Jennifer Poore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Poore accept?

Health plans from Oscar Health and UnitedHealthcare list Jennifer Poore 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 Jennifer Poore was last updated on July 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.