1. Home
  2. Directory
  3. Georgia
  4. Newnan
  5. Social Worker
  6. NPI Profile

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: August 02, 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 and is a graduate of Other (2012).

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
Medical School CMSOtherGraduated 2012
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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ednita Duncan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345768008
PECOS Enrollment IDI20250718000440
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 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.

What insurance does Ednita Duncan accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company 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.