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ALPHONSO MCKIBBINS
NPI 1184441420
Social Worker - Clinical in Fayetteville, GA

Active since September 25, 2024PECOS EnrolledAccepts Medicare Assignment
170 ATKINS LN, FAYETTEVILLE, GA 30215(678) 670-5180 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alphonso Mckibbins NPPES

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

ALPHONSO MCKIBBINS (NPI 1184441420) is an individual clinical provider in Fayetteville, Georgia, licensed in Georgia (CSW009276) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1184441420
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameALPHONSO MCKIBBINS
Location Address170 ATKINS LNFayetteville, GA 30215-8003
Mailing Address170 Atkins LnFayetteville, GA 30215-8003 · (678) 670-5180
Phone(678) 670-5180
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 25, 2024
NPPES CertifiedSeptember 25, 2024
✔ NPI 1184441420 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 · CSW009276
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.
170 ATKINS LN, Fayetteville, GA 30215
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alphonso Mckibbins 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 ID9133655426
PECOS Enrollment IDI20241210003268
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30215 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

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

1LIFE COUNSELING AND CONSULTING LLC
Social Worker (Clinical)
170 ATKINS LN
FAYETTEVILLE, GA 30215
Fayette County (678) 670-5180

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 Alphonso Mckibbins's NPI number?

The NPI number for Alphonso Mckibbins is 1184441420. It was assigned to this individual provider in the NPPES registry on September 25, 2024.

Where is Alphonso Mckibbins located?

Alphonso Mckibbins practices at 170 Atkins Ln, Fayetteville, GA 30215. The listed phone number is (678) 670-5180.

What is Alphonso Mckibbins's specialty?

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

Is Alphonso Mckibbins enrolled in Medicare?

Yes. Alphonso Mckibbins 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.

When was this NPI record last updated?

The NPPES record for Alphonso Mckibbins was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.