Individual provider Active NPI

Jessica Paige Oliver, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Thomasville, GA
National Provider Identifier
1114585940
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN227381 Issued in GA
Practice address
317 S Broad St Ste 101
Thomasville, GA 31792-5546
Phone
(229) 231-0480
NPI assigned
Jun 5, 2019
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11002836 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN227381 GA Primary
Family Nurse Practitioner 363LF0000X RN227381 GA

Addresses

Primary practice location

317 S Broad St Ste 101
Thomasville, GA 31792-5546

Mailing address

PO Box 5781
Thomasville, GA 31758-5781

Other practice location 1

252 Woodlands Blvd
Thomasville, GA 31792-3200
Phone (229) 227-5468

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190925002258 GA Practitioner - Nurse Practitioner 5597095034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Pines Community Service BoardGroup PAC ID 5799772844, 13 clinicians

Practice addresses (Care Compare)

1102 Smith Ave
Thomasville, GA 31792-5740
Phone (912) 227-5468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11002836FLMDPsychiatric/Mental Health Nurse Practitioner
RN227381GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Pines Community Service Board CurrentSince Aug 8, 2019 Accepting new patients
Blooming Minds Psychiatry, LLC Psychiatric/Mental Health CurrentSince Feb 19, 2026 Accepting new patients

Locations

1102 Smith Ave
Ste H
Thomasville, GA 31792
Phone (229) 225-5208

1102 Smith Ave
Ste K
Thomasville, GA 31792
Phone (912) 227-5468

218 W Jackson St
Unit 206
Thomasville, GA 31792
Phone (229) 231-0480

252 Woodlands Blvd
Thomasville, GA 31792
Phone (229) 225-4053

317 S Broad St
Ste 101
Thomasville, GA 31792

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1114585940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5781",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317585781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S BROAD ST STE 101",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925546",
            "telephone_number": "229-231-0480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "252 Woodlands Blvd",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "GA",
            "postal_code": "317923200",
            "country_code": "US",
            "telephone_number": "229-227-5468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "JESSICA",
        "middle_name": "PAIGE",
        "credential": "PMHNP-BC, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11002836",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN227381",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN227381",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.