SOC INTEGRATED SERVICES, LLC
NPI 1245890987
Community/Behavioral Health in Atlanta, GA

Active since June 15, 2019
130 WYNFIELD WAY SW, ATLANTA, GA 30331(678) 517-5440 Get Directions Write a Review

NPPES record last updated: June 15, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Soc Integrated Services, Llc NPPES

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

SOC INTEGRATED SERVICES, LLC (NPI 1245890987) is a healthcare organization registered as a community/behavioral health in Atlanta, Georgia and active in the NPI registry since June 2019. The organization lists Adrian Verwayne, Director, as its authorized official.

NPPES Registry Identity

NPI1245890987
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSOC INTEGRATED SERVICES, LLC
Location Address130 WYNFIELD WAY SWAtlanta, GA 30331-6837
Mailing Address130 Wynfield Way SwAtlanta, GA 30331-6837
Organization SubpartNo
Authorized OfficialAdrian VerwayneDirector · (678) 517-5440
Enumeration DateJune 15, 2019
✔ NPI 1245890987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
130 WYNFIELD WAY SW, Atlanta, GA 30331

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soc Integrated Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Soc Integrated Services, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Social Worker
NPI 1114117728
9361 FIELDSTONE CT
Jonesboro, GA 30236
(770) 478-1188
✔ PECOS19 mi
Obstetrics/Gynecology
NPI 1417942988
777 LOWNDES HILL RD BLDG 1
Greenville, SC 29607
(800) 967-2289
✔ PECOS✔ Accepts Medicare148 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Soc Integrated Services, LLC's NPI number?

The NPI number for Soc Integrated Services, LLC is 1245890987. It was assigned to this organization in the NPPES registry on June 15, 2019.

Where is Soc Integrated Services, LLC located?

Soc Integrated Services, LLC is located at 130 Wynfield Way SW, Atlanta, GA 30331. The listed phone number is (678) 517-5440.

What is Soc Integrated Services, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Soc Integrated Services, LLC enrolled in Medicare?

Yes. Soc Integrated Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Soc Integrated Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Soc Integrated Services, LLC, in Clinical Social Worker and Obstetrics/Gynecology. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Soc Integrated Services, LLC was last updated on June 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.