TYSHAWN KINGSBERRY LCSW
NPI 1932297652
Social Worker - Clinical in Covington, GA
About Tyshawn Kingsberry Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYSHAWN KINGSBERRY LCSW (NPI 1932297652) is an individual clinical provider in Covington, Georgia, licensed in Georgia (CSW006341) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Tyshawn Kingsberry 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.
Medicare Billing Reassignments
2Medicare enrollment records show Tyshawn Kingsberry reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rome, GA 30165
- Reassigned Medicare billing, Georgia enrollment
- 92 clinicians in this Medicare group
Denver, CO 80202
- Reassigned Medicare billing, Georgia enrollment
- 206 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tyshawn Kingsberry's NPI number?
The NPI number for Tyshawn Kingsberry is 1932297652. It was assigned to this individual provider in the NPPES registry on October 10, 2006.
Where is Tyshawn Kingsberry located?
Tyshawn Kingsberry practices at 160 Camerons Way, Covington, GA 30016. The listed phone number is (404) 348-3948.
What is Tyshawn Kingsberry's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Tyshawn Kingsberry enrolled in Medicare?
Yes. Tyshawn Kingsberry 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 organizations bill Medicare for Tyshawn Kingsberry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyshawn Kingsberry reassigns Medicare benefits to 2 organizations: Lifesource Of North Carolina (Rome, GA) and Sondermind Provider Network LLC (Denver, CO). Each 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 Tyshawn Kingsberry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyshawn Kingsberry accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Tyshawn Kingsberry 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 Tyshawn Kingsberry was last updated on January 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Tyshawn Kingsberry, LCSW · NPI 1932297652
Clinical provider in Covington, Georgia. Individual provider, active in the CMS NPPES registry since October 10, 2006.
## Identity
- **NPI:** 1932297652 (Entity type: Individual)
- **Enumerated:** October 10, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** CSW006341 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 160 CAMERONS WAY, Covington, GA 30016-1162
- **Phone:** (404) 348-3948
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lifesource Of North Carolina (NPI 1962940817, Rome, GA); Sondermind Provider Network LLC (NPI 1760854442, Denver, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** January 31, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1932297652) · Data from the CMS NPPES public registry.