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JAZMYN DESIRA MCINNIS
NPI 1235866922
Counselor - Professional in Charlotte, NC

Active since August 03, 2022PECOS Enrolled
501 BILLINGSLEY RD, CHARLOTTE, NC 28211(704) 444-2400 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 7, 2025, Oct 21, 2022, Sep 6, 2022 and 2 more (5 updates tracked since 2022).

About Jazmyn Desira Mcinnis NPPES

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

JAZMYN DESIRA MCINNIS (NPI 1235866922) is an individual professional provider in Charlotte, North Carolina and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1235866922
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJAZMYN DESIRA MCINNIS
Location Address501 BILLINGSLEY RDCharlotte, NC 28211-1009
Mailing Address501 Billingsley RdCharlotte, NC 28211-1009 · (704) 444-2400
Phone(704) 444-2400
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 3, 2022
Last NPPES UpdateNovember 7, 20255 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
✔ NPI 1235866922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
501 BILLINGSLEY RD, Charlotte, NC 28211
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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 of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jazmyn Desira Mcinnis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234627076
PECOS Enrollment IDI20251023000304
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.

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.

STEPHANIE FRANCIS NEWBY MD
Psychiatry & Neurology (Addiction Medicine)
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
BORIS MAXIMOVICH KISELEV MD
Internal Medicine
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
NEISHA PETTAWAY LCMHCA
Counselor (Mental Health)
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
MRS. ROSE K CHIN RPH
Pharmacist
501 BILLINGSLEY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 358-2862
HRISTOS CHRISTOPHER KARANIKAS MD
Psychiatry & Neurology (Psychiatry)
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
DR. TERESA KATHRYN HOSKINS DO, MPH, CPH
Student in an Organized Health Care Education/Training Program
501 BILLINGSLEY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
TIMOTHY COOPER KING MD
Psychiatry & Neurology (Psychiatry)
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
DAVID FRANKLIN TAYLOR PHARMD
Pharmacist
501 BILLINGSLEY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 358-2862

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 Jazmyn Mcinnis's NPI number?

The NPI number for Jazmyn Mcinnis is 1235866922. It was assigned to this individual provider in the NPPES registry on August 3, 2022.

Where is Jazmyn Mcinnis located?

Jazmyn Mcinnis practices at 501 Billingsley Rd, Charlotte, NC 28211. The listed phone number is (704) 444-2400.

What is Jazmyn Mcinnis's specialty?

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

Is Jazmyn Mcinnis enrolled in Medicare?

Yes. Jazmyn Mcinnis is registered in the Medicare PECOS enrollment system.

What insurance does Jazmyn Mcinnis accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Jazmyn Mcinnis 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 Jazmyn Mcinnis was last updated on November 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.