MRS. DE'ZJANA MARIE PHINIEZY MED
NPI 1144931031
Counselor - Professional in Augusta, GA

Active since December 12, 2022PECOS EnrolledAccepts Medicare Assignment
3643 WALTON WAY EXT BLDG 4, AUGUSTA, GA 30909(706) 364-1401 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. De'zjana Marie Phiniezy Med NPPES

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

MRS. DE'ZJANA MARIE PHINIEZY MED (NPI 1144931031) is an individual professional provider in Augusta, Georgia and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1144931031
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. DE'ZJANA MARIE PHINIEZYCredential: MED
Location Address3643 WALTON WAY EXT BLDG 4Augusta, GA 30909-6677
Mailing Address3643 Walton Way Ext Bldg 4Augusta, GA 30909-6677 · (706) 364-1404
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 12, 2022
NPPES CertifiedDecember 12, 2022
✔ NPI 1144931031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
3643 WALTON WAY EXT BLDG 4, Augusta, GA 30909

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

Mrs. De'zjana Marie Phiniezy Med 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.

PECOS PAC ID5698266542
PECOS Enrollment IDI20251118004085
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 De'zjana Phiniezy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
1951 NW 7TH AVE FL 3
Miami, FL 33136
  • Reassigned Medicare billing, Georgia enrollment
  • 27 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.

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.

Counselor (Mental Health)
3643 WALTON WAY EXT BLDG 4
AUGUSTA, GA 30909
Counselor (Mental Health)
3643 WALTON WAY EXT BLDG 4
AUGUSTA, GA 30909
Counselor (Mental Health)
3643 WALTON WAY EXT BLDG 4
AUGUSTA, GA 30909
Massage Therapist
3643 WALTON WAY EXT BLDG 4
AUGUSTA, GA 30909
Counselor (Professional)
3643 WALTON WAY EXT BLDG 4
AUGUSTA, GA 30909
Counselor (Mental Health)
3643 WALTON WAY EXT BLDG 4
AUGUSTA, GA 30909
Counselor
3643 WALTON WAY EXT BLDG 4
AUGUSTA, GA 30909
Social Worker (Clinical)
3643 WALTON WAY EXT BLDG 4
AUGUSTA, GA 30909

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 De'zjana Phiniezy's NPI number?

The NPI number for De'zjana Phiniezy is 1144931031. It was assigned to this individual provider in the NPPES registry on December 12, 2022.

Where is De'zjana Phiniezy located?

De'zjana Phiniezy practices at 3643 Walton Way Ext Bldg 4, Augusta, GA 30909. The listed phone number is (706) 364-1401.

What is De'zjana Phiniezy's specialty?

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

Is De'zjana Phiniezy enrolled in Medicare?

Yes. De'zjana Phiniezy 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 De'zjana Phiniezy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), De'zjana Phiniezy reassigns Medicare benefits to Brave Health Medical 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 De'zjana Phiniezy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does De'zjana Phiniezy accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list De'zjana Phiniezy 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 De'zjana Phiniezy was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.