TIFFANY JACKSON LMSW
NPI 1316532591
Counselor - Professional in East Point, GA
About Tiffany Jackson Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIFFANY JACKSON LMSW (NPI 1316532591) is an individual professional provider in East Point, Georgia and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tiffany Jackson Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tiffany Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, Georgia enrollment
- 994 clinicians in this Medicare group
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 Tiffany Jackson's NPI number?
The NPI number for Tiffany Jackson is 1316532591. It was assigned to this individual provider in the NPPES registry on March 9, 2021.
Where is Tiffany Jackson located?
Tiffany Jackson practices at 2474 Black Fox Trl, East Point, GA 30344. The listed phone number is (510) 435-2172.
What is Tiffany Jackson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Tiffany Jackson enrolled in Medicare?
Yes. Tiffany Jackson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tiffany Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Jackson reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The 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 Tiffany Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tiffany Jackson accept?
Health plans from CareSource and UnitedHealthcare list Tiffany Jackson 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 Tiffany Jackson was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Tiffany Jackson, LMSW · NPI 1316532591
Professional provider in East Point, Georgia. Individual provider, active in the CMS NPPES registry since March 9, 2021.
## Identity
- **NPI:** 1316532591 (Entity type: Individual)
- **Enumerated:** March 9, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2474 BLACK FOX TRL, East Point, GA 30344-6612
- **Phone:** (510) 435-2172
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** March 9, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1316532591) · Data from the CMS NPPES public registry.