Individual provider Active NPI

Jana Lee Serna, LCSW

  • Clinical Social Worker
  • Cumming, GA
National Provider Identifier
1952670697
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005354 Issued in GA
Practice address
2825 Keith Bridge Rd Ste 100
Cumming, GA 30041-4304
Phone
(770) 848-9200
NPI assigned
Dec 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW005354 GA Primary

Addresses

Primary practice location

2825 Keith Bridge Rd Ste 100
Cumming, GA 30041-4304

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

327 Dahlonega St Ste B1902
Cumming, GA 30040-8216
Phone (678) 371-7357

Other practice location 2

309 Pirkle Ferry Rd Ste A400
Cumming, GA 30040
Phone (770) 842-7168

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.simplepractice.com Health Information Exchange (HIE)

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
I20150407001337 GA Practitioner - Clinical Social Worker 9032437835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2825 Keith Bridge Rd
Suite 100
Cumming, GA 30041-4304
Phone (770) 844-7494

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW005354GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Physicians Group Inc CurrentSince May 18, 2022 Accepting new patients

Locations

2825 Keith Bridge Rd
Ste 100
Cumming, GA 30041
Phone (770) 844-7494

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

Organizations & group practices 1

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": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1952670697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 KEITH BRIDGE RD STE 100",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300414304",
            "telephone_number": "770-848-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 Dahlonega St Ste B1902",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300408216",
            "country_code": "US",
            "telephone_number": "678-371-7357",
            "fax_number": "770-888-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 Pirkle Ferry Rd Ste A400",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "30040",
            "country_code": "US",
            "telephone_number": "770-842-7168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERNA",
        "first_name": "JANA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-27",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "309 Pirkle Ferry Rd Ste A400",
            "city": "Cumming",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300402556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.