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TOMICA DENISE BINNS NP
NPI 1346909843
Nurse Practitioner - Psychiatric/Mental Health in Macon, GA

Active since December 12, 2021PECOS Enrolled
125 1ST ST STE A, MACON, GA 31201(478) 787-6910 Get Directions Write a Review

NPPES record last updated: December 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tomica Denise Binns Np NPPES

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

TOMICA DENISE BINNS NP (NPI 1346909843) is an individual psychiatric/mental health provider in Macon, Georgia, licensed in Georgia (RN209587) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346909843
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTOMICA DENISE BINNSCredential: NP
Location Address125 1ST ST STE AMacon, GA 31201-2692
Mailing Address124 Long Leaf Trl NeMilledgeville, GA 31061-9466 · (478) 234-6411
Phone(478) 787-6910
Sole ProprietorYes
Enumeration DateDecember 12, 2021
NPPES CertifiedDecember 12, 2021
✔ NPI 1346909843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN209587
125 1ST ST STE A, Macon, GA 31201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tomica Denise Binns Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Tomica Binns reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Services Of Central Georgia, Inc
0.8 mi
Multi-Specialty
777 HEMLOCK ST
Macon, GA 31201
  • Reassigned Medicare billing, Georgia enrollment
  • 483 clinicians in this Medicare group
NPI 1184679482 (478) 633-6713

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Tomica Binns's NPI number?

The NPI number for Tomica Binns is 1346909843. It was assigned to this individual provider in the NPPES registry on December 12, 2021.

Where is Tomica Binns located?

Tomica Binns practices at 125 1st St Ste A, Macon, GA 31201. The listed phone number is (478) 787-6910.

What is Tomica Binns's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tomica Binns enrolled in Medicare?

Yes. Tomica Binns is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tomica Binns's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tomica Binns reassigns Medicare benefits to Health Services Of Central Georgia, Inc (Macon, GA). 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 Tomica Binns's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tomica Binns accept?

Health plans from Alliant Health Plans, Inc., Blue Cross and Blue Shield of Texas and UnitedHealthcare list Tomica Binns 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 Tomica Binns was last updated on December 12, 2021. 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.