PHYLLIS J JETER LCSW
NPI 1437100484
Social Worker - Clinical in Rome, GA

Q: What is Phyllis Jeter's NPI number?

The NPI number for Phyllis Jeter is 1437100484. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Q: What is Phyllis Jeter's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Phyllis Jeter was last updated on October 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 15, 2006PECOS Enrolled

1345 REDMOND CIR NW, ROME, GA 30165(910) 742-9243(888) 746-1787 Get Directions Write a Review

NPPES record last updated: October 16, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Phyllis J Jeter Lcsw NPPES

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

PHYLLIS J JETER LCSW (NPI 1437100484) is an individual clinical provider in Rome, Georgia, licensed in Georgia (CSW002331) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Albany.

NPPES Registry Identity

NPI1437100484

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NamePHYLLIS J JETERCredential: LCSW

Location Address1345 REDMOND CIR NWRome, GA 30165-1307

Mailing AddressPo Box 538622Atlanta, GA 30353-8622 · (910) 535-1211 · Fax (919) 746-7603

Phone(910) 742-9243

Fax(888) 746-1787

Sole ProprietorNo

Enumeration DateMay 15, 2006

Last NPPES UpdateOctober 16, 2019

✔ NPI 1437100484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in GA · CSW002331

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.

1345 REDMOND CIR NW, Rome, GA 30165

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Secondary Practice Location 1

Location 1910 N Jefferson StAlbany, GA 31701-2393 · Phone (229) 312-7001 · Fax (229) 312-7006

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phyllis J Jeter Lcsw 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 Phyllis Jeter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifesource Of North Carolina

Same address

General Practice

1345 REDMOND CIR NW
Rome, GA 30165

Reassigned Medicare billing, Georgia enrollment
92 clinicians in this Medicare group

NPI 1962940817 (910) 742-9243

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 30165 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 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXIS AVERETT

Social Worker (Clinical)