MR. JOHNATHON RAYMOND RUSH LCSW
NPI 1376111740
Social Worker - Clinical in Fayetteville, NC
About Mr. Johnathon Raymond Rush Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHNATHON RAYMOND RUSH LCSW (NPI 1376111740) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (C017313) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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)
Mr. Johnathon Raymond Rush Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Johnathon Rush reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fayetteville, NC 28305
- Reassigned Medicare billing, North Carolina enrollment
- 5 clinicians in this Medicare group
Fayetteville, NC 28304
- Reassigned Medicare billing, North Carolina enrollment
- 6 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAYETTEVILLE, NC 28305
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 Johnathon Rush's NPI number?
The NPI number for Johnathon Rush is 1376111740. It was assigned to this individual provider in the NPPES registry on June 14, 2021.
Where is Johnathon Rush located?
Johnathon Rush practices at 1248 Fort Bragg Rd, Fayetteville, NC 28305. The listed phone number is (910) 759-4852.
What is Johnathon Rush's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Johnathon Rush enrolled in Medicare?
Yes. Johnathon Rush is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Johnathon Rush's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Johnathon Rush reassigns Medicare benefits to 2 organizations: Painting Miracles Inc. (Fayetteville, NC) and Inspiring Change PLLC (Fayetteville, NC). 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 Johnathon Rush's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Johnathon Rush accept?
Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Johnathon Rush 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 Johnathon Rush was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Mr. Johnathon Raymond Rush, LCSW · NPI 1376111740
Clinical provider in Fayetteville, North Carolina. Individual provider, active in the CMS NPPES registry since June 14, 2021.
## Identity
- **NPI:** 1376111740 (Entity type: Individual)
- **Enumerated:** June 14, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** C017313 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1248 FORT BRAGG RD, Fayetteville, NC 28305-4981
- **Phone:** (910) 759-4852
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Painting Miracles Inc. (NPI 1629851605, Fayetteville, NC); Inspiring Change PLLC (NPI 1982251104, Fayetteville, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1376111740) · Data from the CMS NPPES public registry.