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YACKINNEIA ROLAND MA
NPI 1508333048
Counselor in Cedartown, GA

Active since November 01, 2018PECOS Enrolled
740 FLETCHER ST, CEDARTOWN, GA 30125(770) 748-1500 Get Directions Write a Review

NPPES record last updated: November 1, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Yackinneia Roland Ma NPPES

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

YACKINNEIA ROLAND MA (NPI 1508333048) is an individual counselor in Cedartown, Georgia and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508333048
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameYACKINNEIA ROLANDCredential: MA
Location Address740 FLETCHER STCedartown, GA 30125-3249
Mailing Address82 Lake Connie RdCarrollton, GA 30116-5232 · (404) 452-4941
Phone(770) 748-1500
Sole ProprietorYes
Enumeration DateNovember 1, 2018
✔ NPI 1508333048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
740 FLETCHER ST, Cedartown, GA 30125
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yackinneia Roland Ma 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 Yackinneia Roland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
643 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Georgia enrollment
  • 994 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

MICHAEL FIGUERAS
Assistant Behavior Analyst
740 FLETCHER ST
CEDARTOWN, GA 30125
Polk County (404) 401-2633
KIMBER FIELDS LPN
Licensed Practical Nurse
740 FLETCHER ST
CEDARTOWN, GA 30125
Polk County (770) 748-1500
MURPHY-HARPST CHILDRENS CENTER
Residential Treatment Facility, Emotionally Disturbed Children
740 FLETCHER ST
CEDARTOWN, GA 30125
Polk County (770) 289-3240
PATRICIA JOHNSON
Community Health Worker
740 FLETCHER ST
CEDARTOWN, GA 30125
Polk County (770) 748-1500
RACHEL HAWKINS
Case Manager/Care Coordinator
740 FLETCHER ST
CEDARTOWN, GA 30125
Polk County (216) 754-0560
MURPHY HARPST CHILDRENS CENTER
Residential Treatment Facility, Emotionally Disturbed Children
740 FLETCHER ST
CEDARTOWN, GA 30125
Polk County (770) 748-1500
MALINDA SMITH
Residential Treatment Facility, Emotionally Disturbed Children
740 FLETCHER ST
CEDARTOWN, GA 30125
Polk County (770) 748-1500
MRS. TIA SMITH
Counselor (Mental Health)
740 FLETCHER ST
CEDARTOWN, GA 30125
Polk County (770) 748-1500

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 Yackinneia Roland's NPI number?

The NPI number for Yackinneia Roland is 1508333048. It was assigned to this individual provider in the NPPES registry on November 1, 2018.

Where is Yackinneia Roland located?

Yackinneia Roland practices at 740 Fletcher St, Cedartown, GA 30125. The listed phone number is (770) 748-1500.

What is Yackinneia Roland's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Yackinneia Roland enrolled in Medicare?

Yes. Yackinneia Roland is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Yackinneia Roland's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yackinneia Roland reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The 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 Yackinneia Roland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yackinneia Roland accept?

Health plans from CareSource and UnitedHealthcare list Yackinneia Roland 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 Yackinneia Roland was last updated on November 1, 2018. 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.