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DR. PHIL RAINES III PSYD
NPI 1982494845
Psychologist - Clinical in Lawrenceville, GA

Active since May 12, 2025PECOS Enrolled
267 LANGLEY DR STE 1279, LAWRENCEVILLE, GA 30046(470) 342-7557 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Phil Raines Iii Psyd NPPES

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

DR. PHIL RAINES III PSYD (NPI 1982494845) is an individual clinical provider in Lawrenceville, Georgia, licensed in Alabama (2414) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982494845
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. PHIL RAINES IIICredential: PSYD
Location Address267 LANGLEY DR STE 1279Lawrenceville, GA 30046-6907
Mailing AddressPo Box 1422Dacula, GA 30019-0025 · (470) 342-7557
Phone(470) 342-7557
Sole ProprietorYes
Enumeration DateMay 12, 2025
Last NPPES UpdateJuly 21, 2025
NPPES CertifiedJuly 21, 2025
✔ NPI 1982494845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in AL · 2414
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
267 LANGLEY DR STE 1279, Lawrenceville, GA 30046
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Phil Raines Iii Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Phil Raines reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health Specialty Group PA
321 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Alabama enrollment
  • 26 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

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 30046 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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Phil Raines's NPI number?

The NPI number for Phil Raines is 1982494845. It was assigned to this individual provider in the NPPES registry on May 12, 2025.

Where is Phil Raines located?

Phil Raines practices at 267 Langley Dr Ste 1279, Lawrenceville, GA 30046. The listed phone number is (470) 342-7557.

What is Phil Raines's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Phil Raines enrolled in Medicare?

Yes. Phil Raines is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Phil Raines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phil Raines reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). 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 Phil Raines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phil Raines accept?

Health plans from UnitedHealthcare list Phil Raines 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 Phil Raines was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.