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TRACY ANN CARMICHAEL LPC
NPI 1669837969
Counselor - Professional in Fayetteville, GA

Active since December 31, 2015PECOS EnrolledAccepts Medicare Assignment
715 BRADLEY DR, FAYETTEVILLE, GA 30214(770) 358-5252(707) 460-2463 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 11, 2019, Dec 31, 2015 (2 updates tracked since 2015).

About Tracy Ann Carmichael Lpc NPPES

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

TRACY ANN CARMICHAEL LPC (NPI 1669837969) is an individual professional provider in Fayetteville, Georgia, licensed in Georgia (LPC010748) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1669837969
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTRACY ANN CARMICHAELCredential: LPC
Location Address715 BRADLEY DRFayetteville, GA 30214-2030
Mailing Address715 Bradley DrFayetteville, GA 30214-2030 · (707) 358-5252 · Fax (770) 460-2463
Phone(770) 358-5252
Fax(707) 460-2463
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 31, 2015
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
✔ NPI 1669837969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC010748
715 BRADLEY DR, Fayetteville, GA 30214
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Accepted Insurance

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

Tracy Ann Carmichael Lpc 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 ID9638522436
PECOS Enrollment IDI20240129001606
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 Tracy Carmichael reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Personal Recovery Network LLC
14 mi
Psychiatry
250 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 592 clinicians in this Medicare group
NPI 1881990869 (770) 389-8100

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 7

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

MS. IRIS BRANCH CLEVELAND LCSW
Social Worker (Clinical)
715 BRADLEY DR
FAYETTEVILLE, GA 30214
Fayette County (770) 638-5252
MRS. EVELYN COWAN STROZIER LAPC
Counselor
715 BRADLEY DR
FAYETTEVILLE, GA 30214
Fayette County (770) 358-5252
DR. ANA MARIA CUEBAS M.D
Psychiatry & Neurology (Psychiatry)
715 BRADLEY DR
FAYETTEVILLE, GA 30214
Fayette County (770) 358-5252
ADRIENNE DEWBERRY LPN
Licensed Practical Nurse
715 BRADLEY DR
FAYETTEVILLE, GA 30214
Fayette County (770) 358-5252
JENISE TRANNELL CLARK LPC
Counselor
715 BRADLEY DR
FAYETTEVILLE, GA 30214
Fayette County (770) 358-5252
MS. TEMEKA WEATHERLY LPC
Counselor (Professional)
715 BRADLEY DR
FAYETTEVILLE, GA 30214
Fayette County (770) 358-5252
TERESA CAGLE
Nurse Practitioner (Psychiatric/Mental Health)
715 BRADLEY DR
FAYETTEVILLE, GA 30214
Fayette County (770) 358-5252

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 Tracy Carmichael's NPI number?

The NPI number for Tracy Carmichael is 1669837969. It was assigned to this individual provider in the NPPES registry on December 31, 2015.

Where is Tracy Carmichael located?

Tracy Carmichael practices at 715 Bradley Dr, Fayetteville, GA 30214. The listed phone number is (770) 358-5252.

What is Tracy Carmichael's specialty?

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

Is Tracy Carmichael enrolled in Medicare?

Yes. Tracy Carmichael 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 Tracy Carmichael's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Carmichael reassigns Medicare benefits to Personal Recovery Network LLC (Stockbridge, 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 Tracy Carmichael's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tracy Carmichael accept?

Health plans from CareSource list Tracy Carmichael 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 Tracy Carmichael was last updated on June 11, 2019. 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.