Inner Community Health - Medicare Mental Health Clinic in Duluth, GA

Inner Community Health is a medicare enrolled mental health clinic (Psychiatry & Neurology - Psychiatry) in Duluth, Georgia. The current practice location for Inner Community Health is 2180 Satellite Blvd Ste 400, Duluth, Georgia. For appointments, you can reach them via phone at (800) 620-6950. The mailing address for Inner Community Health is 2180 Satellite Blvd Ste 400, Duluth, Georgia and phone number is () -.

Inner Community Health is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1891398541. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (800) 620-6950.

Contact Information

Inner Community Health
2180 Satellite Blvd Ste 400
Duluth
GA 30097-4927
(800) 620-6950
(877) 290-0408

Map and Direction


Mental Health Clinic Profile

Full NameInner Community Health
SpecialityPsychiatry & Neurology
Location2180 Satellite Blvd Ste 400, Duluth, Georgia
Authorized Official Name and PositionMirica Sanders (OWNER)
Authorized Official Contact2165773441
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Inner Community Health
2180 Satellite Blvd Ste 400
Duluth
GA 30097-4927

Ph: () -
Inner Community Health
2180 Satellite Blvd Ste 400
Duluth
GA 30097-4927

Ph: (800) 620-6950

NPI Details:

NPI Number1891398541
Provider Enumeration Date11/17/2020
Last Update Date11/07/2023
Certification Date11/07/2023

Medicare PECOS Information:

Medicare PECOS PAC ID8729441852
Medicare Enrollment IDO20230823000046

Medical Identifiers

Medical identifiers for Inner Community Health such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891398541NPI-NPPES
003291824AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Primary
251S00000XCommunity/behavioral Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Inner Community Health acts as a billing entity for following providers:
Provider NameSusan Furro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548790496
PECOS PAC ID: 5991075384
Enrollment ID: I20170718000835
Provider NameOlusola Olawale
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205327764
PECOS PAC ID: 5496005076
Enrollment ID: I20180830003632
Provider NameMariam R Qureshi
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1801113204
PECOS PAC ID: 5294053831
Enrollment ID: I20181012002433
Provider NameTansha Enoch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396230413
PECOS PAC ID: 5092138206
Enrollment ID: I20200707001415
Provider NameTiona Praylow
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1013178334
PECOS PAC ID: 7315181336
Enrollment ID: I20210405000576
Provider NameStephanie Abel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811506272
PECOS PAC ID: 8426466418
Enrollment ID: I20210412001113
Provider NameQuinshunda Carter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871763805
PECOS PAC ID: 3173925682
Enrollment ID: I20210707000447
Provider NameMirica Artine Sanders
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1336466820
PECOS PAC ID: 6406082213
Enrollment ID: I20220504000674
Provider NameBeau Daniel Foxworth
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1497245203
PECOS PAC ID: 2668851098
Enrollment ID: I20220615001592
Provider NameJohn Gabriel Smith
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1609396035
PECOS PAC ID: 0446526446
Enrollment ID: I20220728001519
Provider NameGlory Osadiaye
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003490764
PECOS PAC ID: 7517334295
Enrollment ID: I20221109002437
Provider NameKenosha Latrice Tillman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275886103
PECOS PAC ID: 6709249246
Enrollment ID: I20230830003310
Provider NameSefiatu Abu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982391629
PECOS PAC ID: 4789047242
Enrollment ID: I20230830003996
Provider NameAndriea Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124537063
PECOS PAC ID: 8729441209
Enrollment ID: I20230831000389
Provider NameShaquanda Shantivus Gordon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891475430
PECOS PAC ID: 9638532096
Enrollment ID: I20230831004487
Provider NameMarilyn Rankin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952606303
PECOS PAC ID: 7012257264
Enrollment ID: I20231128002839

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.