Ashley Burgess, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW008396 Issued in GA

Practice address

9652 Pintail TRL
Jonesboro, GA 30238-5822

Phone

(470) 246-7503

NPI assigned

Sep 8, 2023

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

• Ashley Douglas Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Telehealth

Offers telehealth services

Group practices

Iora Senior Health LLCGroup PAC ID 0143520189, 117 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Iora Senior Health, LLC

  dba One Medical

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1619376456
  Medicare reassignment Care Compare group NPD
• Iora Health Georgia, P.C.

  dba One Medical

  • Internal Medicine Physician
  • Tucker, GA
  • NPI 1457846727
  NPD
• Iora Senior Health, LLC

  dba One Medical

  • Internal Medicine Physician
  • Tucker, GA
  • NPI 1518446194
  NPD

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1255118824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9652 PINTAIL TRL",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302385822",
            "telephone_number": "470-246-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9652 PINTAIL TRL",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302385822",
            "telephone_number": "470-246-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "ASHLEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "DOUGLAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharon B Bryant, LPC
• Jerelyn Buchanan
• Building a Strong Foundation Consultant Service LLC
• Marquez Burdette Sr.
• Michelle P Burger-Rains, BCBA
• Nataki Burke, LMT
• Amber Burks, CCC-SLP
• Thomas C. Burns, PH.D
• Jadawnya Burton, CNA
• Felita Bush, LPC

• Clinical Social Worker in Jonesboro, GA
• Providers in Jonesboro, 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 8, 2023; 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.