Alphonso McKibbins

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW009276 Issued in GA

Practice address

170 Atkins LN
Fayetteville, GA 30215-8003

Phone

(678) 670-5180

NPI assigned

Sep 25, 2024

Last updated

Sep 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Caringworks, IncGroup PAC ID 3375965577, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/caringworksinc/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Caringworks, Inc

  • Community/Behavioral Health Agency
  • Decatur, GA
  • NPI 1720385354
  Medicare reassignment Care Compare group NPD
• Christopher Dennis MD PLLC

  • Psychiatry Physician
  • Johns Creek, GA
  • NPI 1588090229

  Clinical

  Medicare reassignment NPD
• 1Life Counseling and Consulting LLC

  • Clinical Social Worker
  • Fayetteville, GA
  • NPI 1639995350
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1184441420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 ATKINS LN",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302158003",
            "telephone_number": "678-670-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 ATKINS LN",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302158003",
            "telephone_number": "678-670-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIBBINS",
        "first_name": "ALPHONSO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW009276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McIntosh Trail CSB (Fayette Community Options)
• Bryan McIver Jr.
• Virgil McIver
• Randall Edward McKean, D.D.S.
• Rebecca Corsey McKeogh, PSYD
• Roy Andrew McKoy II
• Rhonda McLean, RBT
• Tiffany Branae McLeroy, BS, RBT
• Lauren McLoughlin, M.ED., BCBA
• Gail Diane McNair, CRNA

• Clinical Social Worker in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.