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EDNITA DUNCAN
NPI 1366564908
Social Worker - Clinical in Newnan, GA

Active since April 04, 2007PECOS Enrolled
1741 NEWNAN CROSSING BLVD E, NEWNAN, GA 30265(470) 485-4393 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ednita Duncan NPPES

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

EDNITA DUNCAN (NPI 1366564908) is an individual clinical provider in Newnan, Georgia, licensed in Georgia (CSW008639) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366564908
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEDNITA DUNCAN
Location Address1741 NEWNAN CROSSING BLVD ENewnan, GA 30265-1599
Mailing Address1741 Newnan Crossing Blvd ENewnan, GA 30265-1599 · (470) 485-4393
Phone(470) 485-4393
Sole ProprietorNo
Enumeration DateApril 4, 2007
Last NPPES UpdateApril 9, 2024
NPPES CertifiedApril 9, 2024
✔ NPI 1366564908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in GA · CSW008639✔ Licensed in TN · 9200
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.
1741 NEWNAN CROSSING BLVD E, Newnan, GA 30265
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, BlueCross BlueShield of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ednita Duncan 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 Reassignments

2

Medicare enrollment records show Ednita Duncan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grow Healthcare Group PA
591 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Georgia, Pennsylvania and Tennessee enrollments
  • 994 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711
Grow Healthcare Group Of Kansas PA
768 mi
Mental Health
801 E DOUGLAS AVE FL 2
Wichita, KS 67202
  • Reassigned Medicare billing, Kansas enrollment
  • 102 clinicians in this Medicare group
NPI 1831848316 (316) 974-3161

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 30265 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 $53.31 – $164.04
Typical copayment $0.00 (range $13.32 – $41.01)
Most-billed visit code NA
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

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.

MY KIDZ DENTIST, PC
Dentist (Pediatric Dentistry)
1741 NEWNAN CROSSING BLVD E, SUITE I
NEWNAN, GA 30265
Coweta County (770) 253-4488
DR. LONA DEMETRIA BIBBS DDS
Dentist (Pediatric Dentistry)
1741 NEWNAN CROSSING BLVD E, SUITE I
NEWNAN, GA 30265
Coweta County (770) 253-4488

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 Ednita Duncan's NPI number?

The NPI number for Ednita Duncan is 1366564908. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Ednita Duncan located?

Ednita Duncan practices at 1741 Newnan Crossing Blvd E, Newnan, GA 30265. The listed phone number is (470) 485-4393.

What is Ednita Duncan's specialty?

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

Is Ednita Duncan enrolled in Medicare?

Yes. Ednita Duncan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ednita Duncan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ednita Duncan reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PA (Miami, FL) and Grow Healthcare Group Of Kansas PA (Wichita, KS). Each 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 Ednita Duncan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ednita Duncan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, BlueCross BlueShield of Tennessee, Cigna Healthcare and UnitedHealthcare list Ednita Duncan 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 Ednita Duncan was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.