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MS. SHERRI JACKS LPC
NPI 1902812886
Counselor - Professional in Atlanta, GA

Active since July 31, 2006PECOS Enrolled
215 LAKEWOOD WAY SW, ATLANTA, GA 30315(404) 762-3650(404) 624-0638 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Sherri Jacks Lpc NPPES

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

MS. SHERRI JACKS LPC (NPI 1902812886) is an individual professional provider in Atlanta, Georgia, licensed in Georgia (LPC003038) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1902812886
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. SHERRI JACKSCredential: LPC
Location Address215 LAKEWOOD WAY SWAtlanta, GA 30315-6022
Mailing Address8250 Canyon Forge DrRiverdale, GA 30274-4469 · (770) 603-5921
Phone(404) 762-3650
Fax(404) 624-0638
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJuly 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1902812886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC003038
215 LAKEWOOD WAY SW, Atlanta, GA 30315
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Sherri Jacks Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183199508
PECOS Enrollment IDI20260413002907
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 Sherri Jacks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Success Brand LLC
50 mi
Mental Health
11630 GA-100
Franklin, GA 30217
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
NPI 1255077061 (404) 466-2050

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.

ACCESS MENTAL HEALTH AGENCY
Counselor (Professional)
215 LAKEWOOD WAY SW, 205
ATLANTA, GA 30315
Fulton County (678) 335-9010
MRS. CHERYL LAVONNE BRIGGS RN
Registered Nurse
215 LAKEWOOD WAY SW
ATLANTA, GA 30315
Fulton County (404) 762-3650
MS. ALEXIS MONIQUE SPENCER LAPC
Counselor (Professional)
215 LAKEWOOD WAY SW, SUITE 205
ATLANTA, GA 30315
Fulton County (404) 762-3560

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 Sherri Jacks's NPI number?

The NPI number for Sherri Jacks is 1902812886. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Sherri Jacks located?

Sherri Jacks practices at 215 Lakewood Way SW, Atlanta, GA 30315. The listed phone number is (404) 762-3650.

What is Sherri Jacks's specialty?

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

Is Sherri Jacks enrolled in Medicare?

Yes. Sherri Jacks is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sherri Jacks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sherri Jacks reassigns Medicare benefits to Success Brand LLC (Franklin, 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 Sherri Jacks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sherri Jacks accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Sherri Jacks 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 Sherri Jacks was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.