DR. JACQUELYN DENISE MCKINNEY PSY.D.
NPI 1437555877
Psychologist - Clinical in Cumming, GA

Q: What is Jacquelyn Mckinney's NPI number?

The NPI number for Jacquelyn Mckinney is 1437555877. It was assigned to this individual provider in the NPPES registry on November 12, 2014. The provider is also known as Jacquelyn Denise Hardy Psy.D..

Q: What is Jacquelyn Mckinney's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since November 12, 2014PECOS Enrolled

4755 SILVER STREAM DR, CUMMING, GA 30040(404) 723-6408 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Jacquelyn Denise Mckinney Psy.d. NPPES

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

DR. JACQUELYN DENISE MCKINNEY PSY.D. (NPI 1437555877) is an individual clinical provider in Cumming, Georgia, licensed in Georgia (PSY003852) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1437555877

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JACQUELYN DENISE MCKINNEYCredential: PSY.D.

Location Address4755 SILVER STREAM DRCumming, GA 30040-9044

Mailing Address4755 Silver Stream DrCumming, GA 30040-9044 · (404) 723-6408

Phone(404) 723-6408

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateNovember 12, 2014

Last NPPES UpdateMarch 24, 2017

✔ NPI 1437555877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in GA · PSY003852

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

4755 SILVER STREAM DR, Cumming, GA 30040

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Other Names 1

Former Name (1)Jacquelyn Denise Hardy Psy.d.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacquelyn Denise Mckinney Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769760743

PECOS Enrollment IDI20161026000412

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

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

Focus Forward Counseling And Consulting, Inc

1.6 mi

Professional

5975 PARKWAY NORTH BLVD, SUITE 300 D
Cumming, GA 30040

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

NPI 1912138710 (404) 388-3909

Fresh Start For The Mind, LLC

7.0 mi

Psychologist

4080 MCGINNIS FERRY RD, SUITE 204
Alpharetta, GA 30005

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

NPI 1184966061 (404) 808-1161

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 30040 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

$172.43 typical visit price

range $56.84 – $172.43

Typical copayment $43.10 (range $14.21 – $43.10)

Most-billed visit code 99205

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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 Jacquelyn Mckinney's NPI number?

The NPI number for Jacquelyn Mckinney is 1437555877. It was assigned to this individual provider in the NPPES registry on November 12, 2014. The provider is also known as Jacquelyn Denise Hardy Psy.D..

Where is Jacquelyn Mckinney located?

Jacquelyn Mckinney practices at 4755 Silver Stream Dr, Cumming, GA 30040. The listed phone number is (404) 723-6408.

What is Jacquelyn Mckinney's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jacquelyn Mckinney enrolled in Medicare?

Yes. Jacquelyn Mckinney is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jacquelyn Mckinney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Mckinney reassigns Medicare benefits to 2 organizations: Focus Forward Counseling And Consulting, Inc (Cumming, GA) and Fresh Start For The Mind, LLC (Alpharetta, GA). 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 Jacquelyn Mckinney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacquelyn Mckinney was last updated on March 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.