Nicole W Nimmo, LPC in Adel, GA - Medicare Counselor Provider

Nicole W Nimmo, LPC is a medicare enrolled "Counselor - Mental Health" provider in Adel, Georgia. Her current practice location is 203 Industrial Park Dr, Adel, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 896-4559.

Nicole W Nimmo is licensed to practice in Georgia (license number LPC015426) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548066095.

Contact Information

	Nicole W Nimmo, LPC
	203 Industrial Park Dr, Adel, GA 31620-3446
	(229) 896-4559
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole W Nimmo
Gender	Female
Speciality	Counselor - Mental Health
Location	203 Industrial Park Dr, Adel, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548066095
Provider Enumeration Date: 02/24/2025
Last Update Date: 07/29/2025

Medicare PECOS Information:

PECOS PAC ID: 6002337177
Enrollment ID: I20250305001793

Medical Identifiers

Medical identifiers for Nicole W Nimmo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548066095	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC015426 (Georgia)	Secondary
101YM0800X	Counselor - Mental Health	LPC015426 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole W Nimmo allows following entities to bill medicare on her behalf.

Entity Name	Behavioral Health Services Of South Georgia
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801932371 PECOS PAC ID: 0840181426 Enrollment ID: O20040323000824

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole W Nimmo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole W Nimmo, LPC 3120 N Oak Street Ext Ste C, Valdosta, GA 31602-5910 Ph: (229) 896-4559	Nicole W Nimmo, LPC 203 Industrial Park Dr, Adel, GA 31620-3446 Ph: (229) 896-4559

Reviews and Comments

Counselor in Adel, GA

Veronica Denise Williams, M.ED., LPC Counselor Medicare: Medicare Enrolled Practice Location: 1905 S Hutchinson Ave, Adel, GA 31620 Phone: 229-896-4559
Monica Lynn Stalvey, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1905 S Hutchinson Ave, Adel, GA 31620 Phone: 229-896-4559
Mrs. Brittney Allen, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 169 Hutchinson Parrish Rd, Adel, GA 31620 Phone: 229-834-1894
Mr. Johnny Carter Hayes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 193 Farmingdon Dr, Adel, GA 31620 Phone: 229-539-5105
Ms. Tonyia Wilson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 S Maple St, Adel, GA 31620 Phone: 229-548-8591

Nicole W Nimmo, LPC - Medicare Counselor in Adel, GA