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MS. TONYA L. EDMOND LCSW
NPI 1295158525
Social Worker - Clinical in Mcdonough, GA

Active since January 22, 2014PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
200 W CAMPGROUND RD, MCDONOUGH, GA 30253(470) 301-5254(470) 282-0016 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2022, Nov 4, 2019 (2 updates tracked since 2019).

About Ms. Tonya L. Edmond Lcsw NPPES

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

MS. TONYA L. EDMOND LCSW (NPI 1295158525) is an individual clinical provider in Mcdonough, Georgia, licensed in Georgia (CSW005059) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (2005).

NPPES Registry Identity

NPI1295158525
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. TONYA L. EDMONDCredential: LCSW
Location Address200 W CAMPGROUND RDMcdonough, GA 30253-8002
Mailing Address950 Eagles Landing Pkwy, # 881Stockbridge, GA 30281-7343 · (470) 301-5254 · Fax (470) 282-0016
Phone(470) 301-5254
Fax(470) 282-0016
Sole ProprietorYes
Medical School CMSHoward University College Of MedicineGraduated 2005
Enumeration DateJanuary 22, 2014
Last NPPES UpdateJanuary 4, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2022
✔ NPI 1295158525 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 · CSW005059
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.
200 W CAMPGROUND RD, Mcdonough, GA 30253
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., CareSource.Insurance ›

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

Ms. Tonya L. Edmond Lcsw 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 ID1951531342
PECOS Enrollment IDI20140304001993
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 30253 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

WORDS WELL SPOKEN LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
200 W CAMPGROUND RD
MCDONOUGH, GA 30253
Henry County (470) 301-5254
DR. EVERICK SCOTT LESANE PHD, LPC
Counselor (Mental Health)
200 W CAMPGROUND RD
MCDONOUGH, GA 30253
Henry County (404) 795-2111

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 Tonya Edmond's NPI number?

The NPI number for Tonya Edmond is 1295158525. It was assigned to this individual provider in the NPPES registry on January 22, 2014.

Where is Tonya Edmond located?

Tonya Edmond practices at 200 W Campground Rd, Mcdonough, GA 30253. The listed phone number is (470) 301-5254.

What is Tonya Edmond's specialty?

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

Is Tonya Edmond enrolled in Medicare?

Yes. Tonya Edmond 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.

What insurance does Tonya Edmond accept?

Health plans from Alliant Health Plans, Inc. and CareSource list Tonya Edmond 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 Tonya Edmond was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.