MS. JASMINE V MCCULLY LCSW
NPI 1114475563
Social Worker - Clinical in Atlanta, GA
About Ms. Jasmine V Mccully Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JASMINE V MCCULLY LCSW (NPI 1114475563) is an individual clinical provider in Atlanta, Georgia, licensed in Georgia (CSW006990) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
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
Ms. Jasmine V Mccully Lcsw 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 Reassignments
3Medicare enrollment records show Jasmine Mccully reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ann Arbor, MI 48104
- Reassigned Medicare billing, Illinois and Michigan enrollments
- 17 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Colorado and Oregon enrollments
- 504 clinicians in this Medicare group
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30341 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ATLANTA, GA 30341
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 Jasmine Mccully's NPI number?
The NPI number for Jasmine Mccully is 1114475563. It was assigned to this individual provider in the NPPES registry on September 14, 2016.
Where is Jasmine Mccully located?
Jasmine Mccully practices at 1835 Savoy Dr, Atlanta, GA 30341. The listed phone number is (219) 484-5904.
What is Jasmine Mccully's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Jasmine Mccully enrolled in Medicare?
Yes. Jasmine Mccully 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 Jasmine Mccully's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jasmine Mccully reassigns Medicare benefits to 3 organizations: Aldad Medical PC (Ann Arbor, MI), Grow Healthcare Group PA (Miami, FL) and Grow Healthcare Group PC (San Jose, CA). 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 Jasmine Mccully's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jasmine Mccully accept?
Health plans from Alliant Health Plans, Inc., Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, BridgeSpan Health Company and CareSource and 3 other insurers list Jasmine Mccully 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 Jasmine Mccully was last updated on August 22, 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.
# Ms. Jasmine V Mccully, LCSW · NPI 1114475563
Clinical provider in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since September 14, 2016.
## Identity
- **NPI:** 1114475563 (Entity type: Individual)
- **Enumerated:** September 14, 2016
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** CSW006990 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1835 SAVOY DR, Atlanta, GA 30341-1072
- **Phone:** (219) 484-5904
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Aldad Medical PC (NPI 1174784953, Ann Arbor, MI); Grow Healthcare Group PA (NPI 1245845932, Miami, FL); Grow Healthcare Group PC (NPI 1154994846, San Jose, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** August 22, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1114475563) · Data from the CMS NPPES public registry.