Marissa Lairsey

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

189 N Brunswick St
Jesup, GA 31546-4377

Phone

(912) 530-8889

NPI assigned

Apr 18, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Marissa Burgess Former name

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anchored in Wellness, LLCGroup PAC ID 5890078810, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Anchored in Wellness, LLC

  • Clinical Social Worker
  • Jesup, GA
  • NPI 1174996847
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1194570747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 HILL ST",
            "city": "HOBOKEN",
            "state": "GA",
            "postal_code": "315423338",
            "telephone_number": "912-614-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 N BRUNSWICK ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315464377",
            "telephone_number": "912-530-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIRSEY",
        "first_name": "MARISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "BURGESS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Halei Alise Kirkland, FNP-BC
• Heather A Klein
• Kreslyn B Odum & Associates, PC
• Kim Kathleen Kuebler, NP
• Hannah Elaine Kurrasch, RBT
• Lawson Physical Therapy
• William Reid Lawson, PT,DPT
• Addison Lee
• Grace Caryn Prince Lee, FNP-C
• Lentz Urgent Care & Family Med, Inc

• Clinical Social Worker in Jesup, GA
• Providers in Jesup, 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 Apr 18, 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.