DR. JAMIE PETTUS PSYD
NPI 1548520125
Psychologist - Clinical in Willow Spring, NC

Q: What is Jamie Pettus's NPI number?

The NPI number for Jamie Pettus is 1548520125. It was assigned to this individual provider in the NPPES registry on May 17, 2012. The provider is also known as Lisa Gay Pettus.

Q: What is Jamie Pettus's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jamie Pettus was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 17, 2012PECOS EnrolledAccepts Medicare Assignment

6601 BLALOCK FOREST DR, WILLOW SPRING, NC 27592(540) 447-0091 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 15, 2020, Mar 17, 2018, Aug 30, 2016 (3 updates tracked since 2016).

On this page

About Dr. Jamie Pettus Psyd NPPES

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

DR. JAMIE PETTUS PSYD (NPI 1548520125) is an individual clinical provider in Willow Spring, North Carolina, licensed in North Carolina (6537) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1548520125

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JAMIE PETTUSCredential: PSYD

Location Address6601 BLALOCK FOREST DRWillow Spring, NC 27592-8977

Mailing Address6601 Blalock Forest DrWillow Spring, NC 27592-8977 · (540) 447-0091

Phone(540) 447-0091

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateMay 17, 2012

Last NPPES UpdateAugust 27, 20243 updates tracked since enumeration

NPPES CertifiedAugust 27, 2024

✔ NPI 1548520125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in NC · 6537✔ Licensed in VA · 0810005815

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.

Also ListedPsychologistTaxonomy 103T00000X · License 2709 (OR)

6601 BLALOCK FOREST DR, Willow Spring, NC 27592

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Other Names 1

Former Name (1)Lisa Gay Pettus

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jamie Pettus Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254694839

PECOS Enrollment IDI20180412001330, I20241010003274

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 Jamie Pettus reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Virginia Health Services Inc

96 mi

Federally Qualified Health Center (FQHC)

8380 BOYDTON PLANK ROAD
Alberta, VA 23821

Reassigned Medicare billing, Virginia enrollment
Also billed through NPI 1548632508 (Virginia)
129 clinicians in this Medicare group

NPI 1831228444 (434) 949-7211

Sailor Health Medical PA

685 mi

Psychologist

2332 GALIANO ST FL 2
Coral Gables, FL 33134

Reassigned Medicare billing, North Carolina and Virginia enrollments
31 clinicians in this Medicare group

NPI 1841012960 (786) 269-0333

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 27592 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

$165.09 typical visit price

range $54.12 – $165.09

Typical copayment $41.27 (range $13.53 – $41.27)

Most-billed visit code 99205

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 Jamie Pettus's NPI number?

The NPI number for Jamie Pettus is 1548520125. It was assigned to this individual provider in the NPPES registry on May 17, 2012. The provider is also known as Lisa Gay Pettus.

Where is Jamie Pettus located?

Jamie Pettus practices at 6601 Blalock Forest Dr, Willow Spring, NC 27592. The listed phone number is (540) 447-0091.

What is Jamie Pettus's specialty?

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

Is Jamie Pettus enrolled in Medicare?

Yes. Jamie Pettus is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jamie Pettus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamie Pettus reassigns Medicare benefits to 2 organizations: Central Virginia Health Services Inc (Alberta, VA) and Sailor Health Medical PA (Coral Gables, FL). 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 Jamie Pettus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jamie Pettus accept?

Health plans from Blue Cross and Blue Shield of NC list Jamie Pettus 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 Jamie Pettus was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.