Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSICA SHERIDAN LMSW
NPI 1164822623
Social Worker - Clinical in Cumming, GA

Q: What is Jessica Sheridan's NPI number?

The NPI number for Jessica Sheridan is 1164822623. It was assigned to this individual provider in the NPPES registry on September 2, 2014.

Q: What is Jessica Sheridan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Sheridan was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.

Active since September 02, 2014PECOS EnrolledAccepts Medicare Assignment

104 PILGRIM VILLAGE DR STE 300, SUITE 4245, CUMMING, GA 30040(678) 595-2020(470) 297-3685 Get Directions Write a Review

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

Record update history: Sep 25, 2026, Jan 12, 2017 (2 updates tracked since 2017).

On this page

About Jessica Sheridan Lmsw NPPES

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

JESSICA SHERIDAN LMSW (NPI 1164822623) is an individual clinical provider in Cumming, Georgia, licensed in Georgia (005777) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other.

NPPES Registry Identity

NPI1164822623

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJESSICA SHERIDANCredential: LMSW

Location Address104 PILGRIM VILLAGE DR STE 300, SUITE 4245Cumming, GA 30040-9232

Mailing Address7855 Kayak WayCumming, GA 30028-8915 · (678) 595-2020 · Fax (470) 297-3685

Phone(678) 595-2020

Fax(470) 297-3685

Sole ProprietorYes

Medical School CMSOther

Enumeration DateSeptember 2, 2014

Last NPPES UpdateSeptember 25, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2026

✔ NPI 1164822623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in GA · 005777

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.

104 PILGRIM VILLAGE DR STE 300, Cumming, GA 30040

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Jessica Sheridan Lmsw 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 ID7618261306

PECOS Enrollment IDI20160803000647

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

Therapeutic Impressions LLC

Same address

Clinical

104 PILGRIM VILLAGE DR STE 300
Cumming, GA 30040

Reassigned Medicare billing, Georgia enrollment

NPI 1134661945 (678) 595-2020

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 30040 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.

MRS. TRISH ALAYANA BELLANTE LMFT

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