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QUINNISE PETTWAY LPC
NPI 1144512013
Counselor - Professional in Atlanta, GA

Active since May 10, 2011PECOS Enrolled
10 PARK PLACE SOUTH SE, ATLANTA, GA 30303(404) 616-6287 Get Directions Write a Review

NPPES record last updated: February 18, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Quinnise Pettway Lpc NPPES

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

QUINNISE PETTWAY LPC (NPI 1144512013) is an individual professional provider in Atlanta, Georgia, licensed in Georgia (LPC06121) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144512013
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameQUINNISE PETTWAYCredential: LPC
Location Address10 PARK PLACE SOUTH SEAtlanta, GA 30303-2913
Mailing Address10 Park Place, Grady Behavioral Health CenterAtlanta, GA 30303-2913 · (404) 616-6287
Phone(404) 616-6287
Sole ProprietorYes
Enumeration DateMay 10, 2011
Last NPPES UpdateFebruary 18, 2016
✔ NPI 1144512013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC06121
10 PARK PLACE SOUTH SE, Atlanta, GA 30303
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Quinnise Pettway Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Quinnise Pettway reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
605 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Texas enrollment
  • 1,573 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.

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.

DAVID RYAN GOLDSMITH M.D.
Psychiatry & Neurology (Psychiatry)
10 PARK PLACE SOUTH SE, 2ND FLOOR
ATLANTA, GA 30303
Fulton County (404) 616-3908
MS. JILL ALICE LOCKLEAR MA, LPC
Counselor (Professional)
10 PARK PLACE SOUTH SE
ATLANTA, GA 30303
Fulton County (404) 616-6257
DEBRA BROWN LCSW
Social Worker (Clinical)
10 PARK PLACE SOUTH SE
ATLANTA, GA 30303
Fulton County (404) 616-1710
CALETHA CARTER MSN, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
10 PARK PLACE SOUTH SE
ATLANTA, GA 30303
Fulton County (404) 616-4444
SHERIL KALARITHARA M.D.
Psychiatry & Neurology (Psychiatry)
10 PARK PLACE SOUTH SE
ATLANTA, GA 30303
Fulton County (404) 616-4784
SUSAN ELIZABETH HRAPCAK MD
Pediatrics
10 PARK PLACE SOUTH SE
ATLANTA, GA 30303
Fulton County (404) 613-1205
MARGARET FOULK MS, LPC, CRC
Counselor (Professional)
10 PARK PLACE SOUTH SE
ATLANTA, GA 30303
Fulton County (404) 616-6257
BENJAMIN THOMPSON LAPC
Counselor (Professional)
10 PARK PLACE SOUTH SE
ATLANTA, GA 30303
Fulton County (706) 623-2017

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 Quinnise Pettway's NPI number?

The NPI number for Quinnise Pettway is 1144512013. It was assigned to this individual provider in the NPPES registry on May 10, 2011.

Where is Quinnise Pettway located?

Quinnise Pettway practices at 10 Park Place South SE, Atlanta, GA 30303. The listed phone number is (404) 616-6287.

What is Quinnise Pettway's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Quinnise Pettway enrolled in Medicare?

Yes. Quinnise Pettway is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Quinnise Pettway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Quinnise Pettway 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 Quinnise Pettway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Quinnise Pettway accept?

Health plans from Blue Cross and Blue Shield of Texas and Cigna Healthcare list Quinnise Pettway 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 Quinnise Pettway was last updated on February 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.