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ANACAONA NEDGE ANTOINE
NPI 1093588295
Social Worker - Clinical in Dacula, GA

Active since October 31, 2023PECOS Enrolled
575 MULBERRY PARK CIR, DACULA, GA 30019(646) 319-0959 Get Directions Write a Review

NPPES record last updated: November 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anacaona Nedge Antoine NPPES

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

ANACAONA NEDGE ANTOINE (NPI 1093588295) is an individual clinical provider in Dacula, Georgia, licensed in New York (P121083) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1093588295
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANACAONA NEDGE ANTOINE
Location Address575 MULBERRY PARK CIRDacula, GA 30019-2050
Mailing Address575 Mulberry Park CirDacula, GA 30019-2050
Phone(646) 319-0959
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 31, 2023
Last NPPES UpdateNovember 5, 2023
NPPES CertifiedNovember 5, 2023
✔ NPI 1093588295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · P121083
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
575 MULBERRY PARK CIR, Dacula, GA 30019
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anacaona Nedge Antoine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789143066
PECOS Enrollment IDI20260826005185
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 Anacaona Antoine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
609 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, New York enrollment
  • 867 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 30019 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
$0.00 typical visit price
range $56.84 – $172.43
Typical copayment $0.00 (range $14.21 – $43.10)
Most-billed visit code NA
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

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 Anacaona Antoine's NPI number?

The NPI number for Anacaona Antoine is 1093588295. It was assigned to this individual provider in the NPPES registry on October 31, 2023.

Where is Anacaona Antoine located?

Anacaona Antoine practices at 575 Mulberry Park Cir, Dacula, GA 30019. The listed phone number is (646) 319-0959.

What is Anacaona Antoine's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Anacaona Antoine enrolled in Medicare?

Yes. Anacaona Antoine is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anacaona Antoine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anacaona Antoine reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Anacaona Antoine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Anacaona Antoine was last updated on November 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.