MINDY JEWETT, LLC
NPI 1992994172
Community/Behavioral Health in Atlanta, GA

Active since October 23, 2007
2060 LONGVIEW WAY, ATLANTA, GA 30341(678) 333-6311 Get Directions Write a Review

NPPES record last updated: October 23, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mindy Jewett, Llc NPPES

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

MINDY JEWETT, LLC (NPI 1992994172) is a healthcare organization registered as a community/behavioral health in Atlanta, Georgia and active in the NPI registry since October 2007. The organization lists Gayle R Andrus, Organizer, as its authorized official.

NPPES Registry Identity

NPI1992994172
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMINDY JEWETT, LLC
Location Address2060 LONGVIEW WAYAtlanta, GA 30341-1512
Mailing Address2060 Longview WayAtlanta, GA 30341-1512 · (678) 333-6311
Organization SubpartNo
Authorized OfficialGayle R AndrusOrganizer · (770) 638-3222
Enumeration DateOctober 23, 2007
✔ NPI 1992994172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in GA · 003045
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2060 LONGVIEW WAY, Atlanta, GA 30341

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mindy Jewett, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mindy Jewett, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1477684025
465 WINN WAY SUITE 221
Decatur, GA 30030
(404) 292-3810
✔ PECOS✔ Accepts Medicare8.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mindy Jewett, LLC's NPI number?

The NPI number for Mindy Jewett, LLC is 1992994172. It was assigned to this organization in the NPPES registry on October 23, 2007.

Where is Mindy Jewett, LLC located?

Mindy Jewett, LLC is located at 2060 Longview Way, Atlanta, GA 30341. The listed phone number is (678) 333-6311.

What is Mindy Jewett, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Mindy Jewett, LLC enrolled in Medicare?

Yes. Mindy Jewett, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindy Jewett, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Mindy Jewett, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mindy Jewett, LLC was last updated on October 23, 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.