DR. JESSICA BOSSON PSY.D.
NPI 1912510157
Psychologist in Marietta, GA

Active since August 27, 2020PECOS EnrolledAccepts Medicare Assignment
2876 JOHNSON FERRY RD STE 150, MARIETTA, GA 30062(678) 465-7496 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 27, 2022, Aug 27, 2020 (2 updates tracked since 2020).

About Dr. Jessica Bosson Psy.d. NPPES

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

DR. JESSICA BOSSON PSY.D. (NPI 1912510157) is an individual psychologist in Marietta, Georgia, licensed in Georgia (PSY004615) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Alpharetta, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1912510157
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JESSICA BOSSONCredential: PSY.D.
Location Address2876 JOHNSON FERRY RD STE 150Marietta, GA 30062-8324
Mailing Address2876 Johnson Ferry Rd Ste 150Marietta, GA 30062-8324 · (678) 465-7496
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 27, 2020
Last NPPES UpdateJuly 27, 20222 updates tracked since enumeration
NPPES CertifiedJuly 26, 2022
✔ NPI 1912510157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in GA · PSY004615
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
2876 JOHNSON FERRY RD STE 150, Marietta, GA 30062

Other Names 1

Former Name (1)Jessica Dean Psy.d.

Secondary Practice Location 1

Location 11041 Cambridge SqAlpharetta, GA 30009-1871 · Phone (770) 361-7864

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

Dr. Jessica Bosson Psy.d. 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 ID3779950175
PECOS Enrollment IDI20221027001123
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 Jessica Bosson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
2872 JOHNSON FERRY RD, STE 200
Marietta, GA 30062
  • Reassigned Medicare billing, Georgia enrollment
  • 16 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 2

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

Counselor (Professional)
2876 JOHNSON FERRY RD STE 150
MARIETTA, GA 30062
Marriage & Family Therapist
2876 JOHNSON FERRY RD STE 150
MARIETTA, GA 30062

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 Jessica Bosson's NPI number?

The NPI number for Jessica Bosson is 1912510157. It was assigned to this individual provider in the NPPES registry on August 27, 2020. The provider is also known as Jessica Dean Psy.D..

Where is Jessica Bosson located?

Jessica Bosson practices at 2876 Johnson Ferry Rd Ste 150, Marietta, GA 30062. The listed phone number is (678) 465-7496.

What is Jessica Bosson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jessica Bosson enrolled in Medicare?

Yes. Jessica Bosson 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 Jessica Bosson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Bosson reassigns Medicare benefits to Unlimited Performance Corp (Marietta, 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 Jessica Bosson'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 Jessica Bosson was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.