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KEDY ERNST JEAN-LOUIS
NPI 1669097895
Social Worker - Clinical in Norcross, GA

Active since June 12, 2020PECOS EnrolledAccepts Medicare Assignment
1626 JEURGENS CT, NORCROSS, GA 30093(678) 524-9477 Get Directions Write a Review

NPPES record last updated: June 12, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kedy Ernst Jean-louis NPPES

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

KEDY ERNST JEAN-LOUIS (NPI 1669097895) is an individual clinical provider in Norcross, Georgia, licensed in Georgia (CSW006806) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1669097895
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKEDY ERNST JEAN-LOUIS
Location Address1626 JEURGENS CTNorcross, GA 30093-2219
Mailing Address2483 Heritage Vlg Ste 16-225Snellville, GA 30078-6140 · (678) 524-9477
Phone(678) 524-9477
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJune 12, 2020
NPPES CertifiedJune 12, 2020
✔ NPI 1669097895 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 · CSW006806
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.
1626 JEURGENS CT, Norcross, GA 30093
Open in Google Maps ↗

Other Identifiers 1

OtherCSW006806GA · Lcsw

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Kedy Ernst Jean-louis 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 ID446741631
PECOS Enrollment IDI20251116000166
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 Kedy Jean-louis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifesource Of North Carolina
64 mi
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 30093 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 $56.84 – $172.43
Typical copayment $0.00 (range $14.21 – $43.10)
Most-billed visit code NA
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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 20

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

PRUITTHEALTH THERAPY SERVICES, INC.
Clinic/Center (Rehabilitation)
1626 JEURGENS CT
NORCROSS, GA 30093
Gwinnett County (770) 279-6200
PRUITTHEALTH PHYSICIANS SERVICES, LLC
Internal Medicine
1626 JEURGENS CT
NORCROSS, GA 30093
Gwinnett County (770) 279-6200
DR. RAYVELLE ANTOINETTE STALLINGS M.D.
Family Medicine
1626 JEURGENS CT
NORCROSS, GA 30093
Gwinnett County (816) 843-5810
MELANY EDEN LYKKE NP
Nurse Practitioner (Family)
1626 JEURGENS CT
NORCROSS, GA 30093
Gwinnett County (770) 279-6200
PRUITTHEALTH HOSPICE, INC.
Hospice Care, Community Based
1626 JEURGENS CT
NORCROSS, GA 30093
Gwinnett County (404) 292-2081
PRUITTHEALTH PHARMACY SERVICES - ATLANTA, INC.
Pharmacy (Community/Retail Pharmacy)
1626 JEURGENS CT, SUITE A
NORCROSS, GA 30093
Gwinnett County (678) 533-6459
NICOLE D ARNOLD FNP
Nurse Practitioner (Family)
1626 JEURGENS CT
NORCROSS, GA 30093
Gwinnett County (404) 399-2578
NASSIFATOU BAKARY
Nurse Practitioner (Family)
1626 JEURGENS CT
NORCROSS, GA 30093
Gwinnett County (770) 279-6200

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 Kedy Jean-louis's NPI number?

The NPI number for Kedy Jean-louis is 1669097895. It was assigned to this individual provider in the NPPES registry on June 12, 2020.

Where is Kedy Jean-louis located?

Kedy Jean-louis practices at 1626 Jeurgens Ct, Norcross, GA 30093. The listed phone number is (678) 524-9477.

What is Kedy Jean-louis's specialty?

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

Is Kedy Jean-louis enrolled in Medicare?

Yes. Kedy Jean-louis 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 organization bills Medicare for Kedy Jean-louis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kedy Jean-louis reassigns Medicare benefits to Lifesource Of North Carolina (Rome, GA). 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 Kedy Jean-louis'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 Kedy Jean-louis was last updated on June 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.