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MR. JEREMY SCOTT LYNN LCSW
NPI 1104428705
Social Worker - Clinical in Lawrenceville, GA

Active since November 10, 2020PECOS Enrolled
175 GWINNETT DR, LAWRENCEVILLE, GA 30046(678) 209-2411 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Jeremy Scott Lynn Lcsw NPPES

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

MR. JEREMY SCOTT LYNN LCSW (NPI 1104428705) is an individual clinical provider in Lawrenceville, Georgia, licensed in Georgia (CSW008115) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104428705
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JEREMY SCOTT LYNNCredential: LCSW
Location Address175 GWINNETT DRLawrenceville, GA 30046-8444
Mailing Address175 Gwinnett DrLawrenceville, GA 30046-8444 · (678) 209-2411
Phone(678) 209-2411
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 10, 2020
Last NPPES UpdateJune 21, 2022
NPPES CertifiedJune 21, 2022
✔ NPI 1104428705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in GA · CSW008115✔ Licensed in TX · 65981
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.
175 GWINNETT DR, Lawrenceville, GA 30046
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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)

Mr. Jeremy Scott Lynn Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264894302
PECOS Enrollment IDI20260706002414
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 Jeremy Lynn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Georgia Mountains Community Services
21 mi
Mental Health
125 N CORNERS PKWY
Cumming, GA 30040
  • Reassigned Medicare billing, Georgia enrollment
  • 65 clinicians in this Medicare group
NPI 1063522035 (678) 341-3840

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 30046 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.

Other Providers at the Same Location NPPES 20

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

MS. KATHERINE ANNE STURGIS
Counselor
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 209-2394
FATIMA FLYNN MS
Counselor
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 209-2394
HARRIET ADIGWU RN
Registered Nurse
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 209-2394
ROSE MARY AGUILAR
Behavior Technician
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 209-2394
ANGELLA BRAMWELL
Counselor (Mental Health)
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 339-2395
INDIA N HUDSON LPN
Licensed Practical Nurse
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 209-2394
MRS. LATRINA GRAHAM RN
Registered Nurse
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 209-2394
MR. JAHID KWAKU ROSS NURSE PRACTITIONER
Nurse Practitioner (Family)
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (404) 209-2394

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 Jeremy Lynn's NPI number?

The NPI number for Jeremy Lynn is 1104428705. It was assigned to this individual provider in the NPPES registry on November 10, 2020.

Where is Jeremy Lynn located?

Jeremy Lynn practices at 175 Gwinnett Dr, Lawrenceville, GA 30046. The listed phone number is (678) 209-2411.

What is Jeremy Lynn's specialty?

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

Is Jeremy Lynn enrolled in Medicare?

Yes. Jeremy Lynn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeremy Lynn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Lynn reassigns Medicare benefits to Georgia Mountains Community Services (Cumming, 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 Jeremy Lynn'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 Jeremy Lynn was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.