Jerry Mitchell Register Jr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW008106 Issued in GA

Practice address

2935 N Ashley St BLDG F
Valdosta, GA 31602-1777

Phone

(229) 333-2273

Fax

(229) 506-5403

NPI assigned

Jun 14, 2022

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/bettermoodclinic/r4/
• FHIR API: https://api.platform.athenahealth.com/25580/brand/1/csg/1/fhir/r4

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

• Better Mood Clinic S Ga LLC

  • Clinical Social Worker
  • Valdosta, GA
  • NPI 1154603470
  Medicare reassignment NPD
• Better Mood Clinic

  • Clinical Social Worker
  • Valdosta, GA
  • NPI 1326289059
  NPD (past)

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1194455964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3338 COUNTRY CLUB RD # 270",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316051044",
            "telephone_number": "229-333-2273",
            "fax_number": "229-504-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 N ASHLEY ST BLDG F",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021777",
            "telephone_number": "229-333-2273",
            "fax_number": "229-506-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGISTER",
        "first_name": "JERRY",
        "middle_name": "MITCHELL",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chateris Reed
• Tayler Gail Anne Reed
• Byron Paul Reese, MD
• Regina Katherine Wisenbaker
• Caitlyn Christine Register, MSN, APRN, FNP-C
• Kenneth Walker Register, D.C.
• Lindsey Register, M. ED, CF-SLP
• Rehab Engineering LLC
• Rehab Medical, LLC
• Rehab One Physical Therapy LLC

• Clinical Social Worker in Valdosta, GA
• Providers in Valdosta, 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 Jun 14, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.