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HEATHER GROOM LCSW
NPI 1861188096
Social Worker - Clinical in Saint Marys, GA

Active since April 12, 2023PECOS EnrolledAccepts Medicare Assignment
4499 GA HIGHWAY 40 E STE A, SAINT MARYS, GA 31558(912) 464-4265 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 1, 2025, May 21, 2025, Apr 4, 2025 and 1 more (4 updates tracked since 2023).

About Heather Groom Lcsw NPPES

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

HEATHER GROOM LCSW (NPI 1861188096) is an individual clinical provider in Saint Marys, Georgia, licensed in Georgia (CSW009561) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1861188096
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHEATHER GROOMCredential: LCSW
Location Address4499 GA HIGHWAY 40 E STE ASaint Marys, GA 31558-9402
Mailing Address4499 Ga Highway 40 E Ste ASaint Marys, GA 31558-9402 · (912) 464-4265 · Fax (912) 729-4626
Phone(912) 464-4265
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 12, 2023
Last NPPES UpdateDecember 1, 20254 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
✔ NPI 1861188096 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 · CSW009561
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.
4499 GA HIGHWAY 40 E STE A, Saint Marys, GA 31558
Open in Google Maps ↗

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

Heather Groom Lcsw 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 ID8921511957
PECOS Enrollment IDI20250702000531
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 Heather Groom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Heather Groom LLC
Same address
Clinical
4499 GA HIGHWAY 40 E STE A
Saint Marys, GA 31558
  • Reassigned Medicare billing, Georgia enrollment
NPI 1790677706 (843) 513-4935

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 31558 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.

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.

MRS. SALLIE ANN GALYEAN LCSW
Social Worker (Clinical)
4499 GA HIGHWAY 40 E STE A
SAINT MARYS, GA 31558
Camden County (912) 674-1130
MICHELLE Y CHRISTOFORO LPC
Counselor (Professional)
4499 GA HIGHWAY 40 E STE A
SAINT MARYS, GA 31558
Camden County (904) 676-9256
HEATHER GROOM LLC
Social Worker (Clinical)
4499 GA HIGHWAY 40 E STE A
SAINT MARYS, GA 31558
Camden County (843) 513-4935

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 Heather Groom's NPI number?

The NPI number for Heather Groom is 1861188096. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Where is Heather Groom located?

Heather Groom practices at 4499 Ga Highway 40 E Ste A, Saint Marys, GA 31558. The listed phone number is (912) 464-4265.

What is Heather Groom's specialty?

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

Is Heather Groom enrolled in Medicare?

Yes. Heather Groom 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 Heather Groom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Groom reassigns Medicare benefits to Heather Groom LLC (Saint Marys, 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 Heather Groom'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 Heather Groom was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.