Active NPI
Jazmine Diamond Sims
- Clinical Social Worker
- Austell, GA
National Provider Identifier
1972358059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16644
- Practice address
- 5090 Ivy Cottage LN
Austell, GA 30106-2673 - Phone
- (803) 629-9799
- NPI assigned
- Apr 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW010324 | GA | |
| Clinical Social Worker | 1041C0700X | 16644 | SC | Primary |
Addresses
Primary practice location
5090 Ivy Cottage LN
Austell, GA 30106-2673
Mailing address
5090 Ivy Cottage LN
Austell, GA 30106-2673
Phone (404) 458-7821
Other names 1
- Jazmine Deshan Diamond
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Charleston, SC 29401
Phone (323) 205-7088
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Healing Hub LLC | Clinical | Current | Accepting new patients |
| Mental Health Specialty Group PA | Current | Accepting new patients |
Locations
170 Meeting St
Charleston, SC 29401
Phone (843) 983-8320
Organizations & group practices 2
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.
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
SC
-
- Clinical Social Worker
- Austell, GA
- NPI 1063208445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1972358059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5090 IVY COTTAGE LN",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301062673",
"telephone_number": "404-458-7821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5090 IVY COTTAGE LN",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301062673",
"telephone_number": "803-629-9799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "JAZMINE",
"middle_name": "DIAMOND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-22",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW010324",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "16644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAZMINE",
"last_name": "DIAMOND",
"middle_name": "DESHAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.