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TINA M POWELL LCSW
NPI 1720489263
Social Worker - Clinical in Shady Dale, GA

Active since September 15, 2014PECOS Enrolled
580 ROSS RD, SHADY DALE, GA 31085(770) 312-4303 Get Directions Write a Review

NPPES record last updated: August 10, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tina M Powell Lcsw NPPES

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

TINA M POWELL LCSW (NPI 1720489263) is an individual clinical provider in Shady Dale, Georgia, licensed in Georgia (CSW005146) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720489263
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTINA M POWELLCredential: LCSW
Location Address580 ROSS RDShady Dale, GA 31085-3228
Mailing Address580 Ross RdShady Dale, GA 31085-3228 · (770) 312-4303
Phone(770) 312-4303
Sole ProprietorYes
Enumeration DateSeptember 15, 2014
Last NPPES UpdateAugust 10, 2016
✔ NPI 1720489263 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 · CSW005146
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.
580 ROSS RD, Shady Dale, GA 31085
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina M Powell Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Tina Powell 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
567 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Georgia enrollment
  • 994 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711
Sailor Health Medical PA
567 mi
Psychologist
2332 GALIANO ST FL 2
Coral Gables, FL 33134
  • Reassigned Medicare billing, Georgia enrollment
  • 26 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 31085 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 $53.31 – $164.04
Typical copayment $0.00 (range $13.32 – $41.01)
Most-billed visit code NA
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

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 Tina Powell's NPI number?

The NPI number for Tina Powell is 1720489263. It was assigned to this individual provider in the NPPES registry on September 15, 2014.

Where is Tina Powell located?

Tina Powell practices at 580 Ross Rd, Shady Dale, GA 31085. The listed phone number is (770) 312-4303.

What is Tina Powell's specialty?

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

Is Tina Powell enrolled in Medicare?

Yes. Tina Powell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tina Powell's services?

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

What insurance does Tina Powell accept?

Health plans from UnitedHealthcare list Tina Powell 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 Tina Powell was last updated on August 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.