Individual provider Active NPI

Jamie Lee Satterfield, CACII

  • Clinical Social Worker
  • Fort Oglethorpe, GA
National Provider Identifier
1710540133
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW008536 Issued in GA
Practice address
1875 Fant Dr
Fort Oglethorpe, GA 30742-3307
Phone
(706) 861-3387
NPI assigned
Apr 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Addiction (Substance Use Disorder) Counselor 101YA0400X 3410 GA
Clinical Social Worker 1041C0700X CSW008536 GA Primary

Addresses

Primary practice location

1875 Fant Dr
Fort Oglethorpe, GA 30742-3307

Mailing address

PO Box 1027
La Fayette, GA 30728-1027
Phone (706) 670-1080

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230418000365 GA Practitioner - Clinical Social Worker 4880069277 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3410GAMDAddiction (Substance Use Disorder) Counselor
CSW008536GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lookout Mountain Community Services Current Accepting new patients
Lookout Mountain Community Services CurrentSince Apr 5, 2023 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince May 23, 2023 Accepting new patients
Lookout Mountain Community Services CurrentSince Apr 5, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

1875 Fant Dr
Ft Oglethorpe, GA 30742
Phone (706) 861-3387

501 Mize St
La Fayette, GA 30728
Phone (706) 638-5584

11578 Highway 27
Summerville, GA 30747
Phone (706) 857-5441

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1710540133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1027",
            "city": "LA FAYETTE",
            "state": "GA",
            "postal_code": "307281027",
            "telephone_number": "706-670-1080",
            "fax_number": "706-639-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 FANT DR",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307423307",
            "telephone_number": "706-861-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATTERFIELD",
        "first_name": "JAMIE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "CACII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "3410",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Oglethorpe, GA

Sources for this page

Verify at the official NPI Registry.