LINDSAY BOTTOMS
NPI 1104388917
Counselor - Mental Health in Kingsland, GA
About Lindsay Bottoms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LINDSAY BOTTOMS (NPI 1104388917) is an individual mental health provider in Kingsland, Georgia, licensed in Georgia (APC006139) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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
Lindsay Bottoms 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.
Medicare Billing Reassignment
Medicare enrollment records show Lindsay Bottoms reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kingsland, GA 31548
- Reassigned Medicare billing, Georgia enrollment
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 Lindsay Bottoms's NPI number?
The NPI number for Lindsay Bottoms is 1104388917. It was assigned to this individual provider in the NPPES registry on April 1, 2019.
Where is Lindsay Bottoms located?
Lindsay Bottoms practices at 140 The Lakes Blvd Ste G4, Kingsland, GA 31548. The listed phone number is (912) 268-4750.
What is Lindsay Bottoms's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Lindsay Bottoms enrolled in Medicare?
Yes. Lindsay Bottoms 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 Lindsay Bottoms's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lindsay Bottoms reassigns Medicare benefits to Southeast Georgia Counseling & Play Therapy, LLC (Kingsland, 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 Lindsay Bottoms's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lindsay Bottoms accept?
Health plans from Oscar Health list Lindsay Bottoms 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 Lindsay Bottoms was last updated on April 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Lindsay Bottoms · NPI 1104388917
Mental Health provider in Kingsland, Georgia. Individual provider, active in the CMS NPPES registry since April 1, 2019.
## Identity
- **NPI:** 1104388917 (Entity type: Individual)
- **Enumerated:** April 1, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** APC006139 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 140 THE LAKES BLVD STE G4, Kingsland, GA 31548-6814
- **Phone:** (912) 268-4750
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Southeast Georgia Counseling & Play Therapy, LLC (NPI 1902576119, Kingsland, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** April 1, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1104388917) · Data from the CMS NPPES public registry.