Ireta Favors, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN296873 Issued in GA

Practice address

250 Bray St
Athens, GA 30601-2203

Phone

(678) 215-4907

Fax

(678) 671-8489

NPI assigned

Jul 12, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Advantage Behavioral Health Systems

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Athens, GA
  • NPI 1942270558

  GA

  Medicare reassignment NPD
• Uhs of Anchor L.P.

  • Psychiatric Hospital
  • Stockbridge, GA
  • NPI 1952537920

  GA

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  GA, Psychiatric/Mental Health

  Medicare reassignment NPD
• Uhs of Anchor L.P.

  • Psychiatric Hospital
  • Atlanta, GA
  • NPI 1023095429
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1003488958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 LAWRENCEVILLE HWY STE K",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442007",
            "telephone_number": "678-215-4907",
            "fax_number": "678-671-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BRAY ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012203",
            "telephone_number": "678-215-4907",
            "fax_number": "678-671-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVORS",
        "first_name": "IRETA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN296873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Leigh Farnham, LMFT, CST
• Meredith L Farnsworth, MFT, PHD
• Lee Anne Farris, APRN,NP-C
• Catherine Amelia Farwell, PSY.D.
• Alexandra C Fass, NP
• Andrew Favre, DO
• Rahim Fazal, MD
• Aynaddis Fekadu, FNP-C
• Sydney Felker, PH.D.
• Anna Katherine Femi, PA-C

• Psychiatric/Mental Health Nurse Practitioner in Athens, GA
• Providers in Athens, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.