1. Home
  2. Directory
  3. Georgia
  4. Union City
  5. Social Worker
  6. NPI Profile

BERTHA JACKSON
NPI 1720852536
Social Worker - Clinical in Union City, GA

Active since November 13, 2023PECOS Enrolled
6224 SHENFIELD LN, UNION CITY, GA 30291(470) 236-8813 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Bertha Jackson NPPES

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

BERTHA JACKSON (NPI 1720852536) is an individual clinical provider in Union City, Georgia, licensed in Georgia (CSW008840) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720852536
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBERTHA JACKSON
Location Address6224 SHENFIELD LNUnion City, GA 30291-7117
Mailing Address6224 Shenfield LnUnion City, GA 30291-7117 · (470) 236-8813
Phone(470) 236-8813
Sole ProprietorNo
Enumeration DateNovember 13, 2023
NPPES CertifiedNovember 13, 2023
✔ NPI 1720852536 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 · CSW008840
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.
6224 SHENFIELD LN, Union City, GA 30291
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bertha Jackson 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 Reassignment

Medicare enrollment records show Bertha Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
597 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

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 30291 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.

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 Bertha Jackson's NPI number?

The NPI number for Bertha Jackson is 1720852536. It was assigned to this individual provider in the NPPES registry on November 13, 2023.

Where is Bertha Jackson located?

Bertha Jackson practices at 6224 Shenfield Ln, Union City, GA 30291. The listed phone number is (470) 236-8813.

What is Bertha Jackson's specialty?

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

Is Bertha Jackson enrolled in Medicare?

Yes. Bertha Jackson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bertha Jackson's services?

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

What insurance does Bertha Jackson accept?

Health plans from Alliant Health Plans, Inc. list Bertha Jackson 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 Bertha Jackson was last updated on November 13, 2023. 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.