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SHEREESE NICOLE PEARSALL
NPI 1528307394
Counselor - Professional in Fayetteville, GA

Active since February 13, 2013PECOS Enrolled
170 BASTILLE WAY, FAYETTEVILLE, GA 30214(770) 255-9941 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shereese Nicole Pearsall NPPES

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

SHEREESE NICOLE PEARSALL (NPI 1528307394) is an individual professional provider in Fayetteville, Georgia, licensed in Georgia (APC002994) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1528307394
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHEREESE NICOLE PEARSALL
Location Address170 BASTILLE WAYFayetteville, GA 30214-7652
Mailing Address612 Northwind LnStockbridge, GA 30281-6255 · (404) 731-8930 · Fax (770) 629-4071
Phone(770) 255-9941
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 13, 2013
Last NPPES UpdateNovember 13, 2024
NPPES CertifiedNovember 13, 2024
✔ NPI 1528307394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · APC002994
Also ListedCounselorTaxonomy 101Y00000X · License LPCC15234 (CA)
170 BASTILLE WAY, Fayetteville, GA 30214
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., CareSource, Harvard Pilgrim Health Care and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shereese Nicole Pearsall is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870933880
PECOS Enrollment IDI20260410000653
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

2

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

Grow Healthcare Group PA
588 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Colorado, Georgia, Oregon and Rhode Island enrollments
  • 504 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711
Grow Healthcare Group PC
2,115 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

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 3

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

MS. TERE P GOODWIN LPC, NCC
Counselor (Professional)
170 BASTILLE WAY, SUITE C
FAYETTEVILLE, GA 30214
Fayette County (770) 461-7010
HOPE YOUTH AND FAMILY SERVICES INC
Foster Care Agency
170 BASTILLE WAY, SUITE A
FAYETTEVILLE, GA 30214
Fayette County (404) 509-9508
DR. JOHN NATHANIEL THOMAS D.C.
Chiropractor (Sports Physician)
170 BASTILLE WAY, SUITE A
FAYETTEVILLE, GA 30214
Fayette County (770) 460-1911

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 Shereese Pearsall's NPI number?

The NPI number for Shereese Pearsall is 1528307394. It was assigned to this individual provider in the NPPES registry on February 13, 2013.

Where is Shereese Pearsall located?

Shereese Pearsall practices at 170 Bastille Way, Fayetteville, GA 30214. The listed phone number is (770) 255-9941.

What is Shereese Pearsall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Shereese Pearsall enrolled in Medicare?

Yes. Shereese Pearsall is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shereese Pearsall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shereese Pearsall reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PA (Miami, FL) and Grow Healthcare Group PC (San Jose, CA). 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 Shereese Pearsall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shereese Pearsall accept?

Health plans from Alliant Health Plans, Inc., CareSource, Harvard Pilgrim Health Care and Oscar Insurance Company list Shereese Pearsall 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 Shereese Pearsall was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.