DR. JACQUELINE BURNETT-BROWN PHD, LMFT
NPI 1700538550
Marriage & Family Therapist in Atlanta, GA

Active since January 24, 2022PECOS EnrolledAccepts Medicare Assignment
4675 N SHALLOWFORD RD STE 202, ATLANTA, GA 30338(678) 481-8332 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 24, 2025, Sep 18, 2022, Jan 24, 2022 (3 updates tracked since 2022).

About Dr. Jacqueline Burnett-brown Phd, Lmft NPPES

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

DR. JACQUELINE BURNETT-BROWN PHD, LMFT (NPI 1700538550) is an individual marriage & family therapist in Atlanta, Georgia, licensed in Georgia (MFT001943) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1700538550
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDR. JACQUELINE BURNETT-BROWNCredential: PHD, LMFT
Location Address4675 N SHALLOWFORD RD STE 202Atlanta, GA 30338-6309
Mailing Address4675 N Shallowford Rd Ste 202Atlanta, GA 30338-6309 · (678) 481-8332
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 24, 2022
Last NPPES UpdateAugust 25, 20253 updates tracked since enumeration
NPPES CertifiedAugust 25, 2025
✔ NPI 1700538550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in GA · MFT001943
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
4675 N SHALLOWFORD RD STE 202, Atlanta, GA 30338

Accepted 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. Jacqueline Burnett-brown Phd, Lmft 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 ID6204325251
PECOS Enrollment IDI20251029004060
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

3

Medicare enrollment records show Jacqueline Burnett-brown reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
619 RANKIN ST NE
Atlanta, GA 30308
  • Reassigned Medicare billing, Georgia enrollment
  • 38 clinicians in this Medicare group
Family Medicine
619 RANKIN ST NE
Atlanta, GA 30308
  • Reassigned Medicare billing, Georgia enrollment
  • 40 clinicians in this Medicare group
Psychiatry
11340 LAKEFIELD DR STE 200
Johns Creek, GA 30097
  • Reassigned Medicare billing, Georgia enrollment
  • 137 clinicians in this Medicare group

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.

Marriage & Family Therapist
4675 N SHALLOWFORD RD STE 202
DUNWOODY, GA 30338
Social Worker (Clinical)
4675 N SHALLOWFORD RD STE 202
ATLANTA, GA 30338
Marriage & Family Therapist
4675 N SHALLOWFORD RD STE 202
ATLANTA, GA 30338

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 Jacqueline Burnett-brown's NPI number?

The NPI number for Jacqueline Burnett-brown is 1700538550. It was assigned to this individual provider in the NPPES registry on January 24, 2022.

Where is Jacqueline Burnett-brown located?

Jacqueline Burnett-brown practices at 4675 N Shallowford Rd Ste 202, Atlanta, GA 30338. The listed phone number is (678) 481-8332.

What is Jacqueline Burnett-brown's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jacqueline Burnett-brown enrolled in Medicare?

Yes. Jacqueline Burnett-brown 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 Jacqueline Burnett-brown's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Burnett-brown reassigns Medicare benefits to 3 organizations: Ascend Medical Georgia II PC (Atlanta, GA), Ascend Medical Georgia PC (Atlanta, GA) and Christopher Dennis MD PLLC (Johns Creek, GA). 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 Jacqueline Burnett-brown's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Burnett-brown accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Jacqueline Burnett-brown 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 Jacqueline Burnett-brown was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.