PETE BELL, LCSW, INC. – Clinical Social Worker, NPI 1902209588
Clinical Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PETE BELL, LCSW, INC.
1229 WITHINGTON ST
MEDFORD, OR 975013368
Phone: (404) 680-6662
Fax: (706) 250-9945
Type: Mailing
4530 S BERKELEY LAKE RD STE B
BERKELEY LAKE, GA 300711657
Phone: (770) 446-5642
Fax: (770) 446-5643
Type: Mailing
2724 CADY RD
JACKSONVILLE, OR 975309431
Phone: (404) 680-6662
Fax: (706) 250-9945
Type: Mailing
2282 EASTWAY RD.
DECATUR, GA 300331657
Phone: (404) 680-6662
Fax: (888) 652-7849
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-12-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-04-30 (771 days ago).
Enrollment records
2
Earliest due date
2024-04-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20141009002017 | O | Clinic/Group Practice | GA | 2024-04-30 |
| O20241216000023 | O | Clinic/Group Practice | OR | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97501)
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