STACEY HIPPS PAGE NCC, LPC
NPI 1861941668
Counselor - Professional in Summerville, GA

Active since September 22, 2016PECOS EnrolledAccepts Medicare Assignment
11578 HIGHWAY 27, SUMMERVILLE, GA 30747(706) 857-5441 Get Directions Write a Review

NPPES record last updated: December 27, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 27, 2019, Sep 22, 2016 (2 updates tracked since 2016).

About Stacey Hipps Page Ncc, Lpc NPPES

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

STACEY HIPPS PAGE NCC, LPC (NPI 1861941668) is an individual professional provider in Summerville, Georgia, licensed in Georgia (011319) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1861941668
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTACEY HIPPS PAGECredential: NCC, LPC
Location Address11578 HIGHWAY 27Summerville, GA 30747-5873
Mailing Address11578 Highway 27Summerville, GA 30747-5873 · (706) 857-5441
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateSeptember 22, 2016
Last NPPES UpdateDecember 27, 20192 updates tracked since enumeration
✔ NPI 1861941668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in GA · 011319✔ Licensed in GA · APC005525
11578 HIGHWAY 27, Summerville, GA 30747

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

Stacey Hipps Page Ncc, 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 ID5294186508
PECOS Enrollment IDI20240123001116
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 Stacey Page reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
83 HIGHWAY 48
Summerville, GA 30747
  • Reassigned Medicare billing, Georgia enrollment
  • 28 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 4

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

Counselor (Professional)
11578 HIGHWAY 27
SUMMERVILLE, GA 30747
Registered Nurse
11578 HIGHWAY 27
SUMMERVILLE, GA 30747
Social Worker
11578 HIGHWAY 27
SUMMERVILLE, GA 30747
Counselor (Professional)
11578 HIGHWAY 27
SUMMERVILLE, GA 30747

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 Stacey Page's NPI number?

The NPI number for Stacey Page is 1861941668. It was assigned to this individual provider in the NPPES registry on September 22, 2016.

Where is Stacey Page located?

Stacey Page practices at 11578 Highway 27, Summerville, GA 30747. The listed phone number is (706) 857-5441.

What is Stacey Page's specialty?

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

Is Stacey Page enrolled in Medicare?

Yes. Stacey Page 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 Stacey Page's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Page reassigns Medicare benefits to Lookout Mountain Community Services (Summerville, 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 Stacey Page'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 Stacey Page was last updated on December 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.