Active NPI
Crooked Willow Psychiatry
- Psychiatric/Mental Health Nurse Practitioner
- Guyton, GA
National Provider Identifier
1114737004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- CROOKED WILLOW PSYCHIATRY
- Practice address
- 323 Griffin Lake Rd
Guyton, GA 31312-3302 - Phone
- (276) 782-0836
- NPI assigned
- Jan 13, 2025
- Last updated
- Jan 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Megan Hollandsworth, PMHNP
- Title
- Owner/Employee
- Phone
- (276) 782-0836
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
323 Griffin Lake Rd
Guyton, GA 31312-3302
Mailing address
323 Griffin Lake Rd
Guyton, GA 31312-3302
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Savannah, GA
- NPI 1053143834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736812800000",
"number": "1114737004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 GRIFFIN LAKE RD",
"city": "GUYTON",
"state": "GA",
"postal_code": "313123302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 GRIFFIN LAKE RD",
"city": "GUYTON",
"state": "GA",
"postal_code": "313123302",
"telephone_number": "276-782-0836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROOKED WILLOW PSYCHIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-13",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A",
"authorized_official_last_name": "HOLLANDSWORTH",
"authorized_official_first_name": "MEGAN",
"authorized_official_title_or_position": "OWNER/EMPLOYEE",
"authorized_official_telephone_number": "276-782-0836",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guyton, GA
- Whitney Brown, LCSW
- Kayla Brunson, RN
- Christina Calissi
- Bobby Darnell Chisholm Jr., ATC, LAT
- Jessica Cooper
- Curtis V. Cooper Primary Health Care Inc. (CVCPHC at Guyton Elementary School)
- Lakesha Jackson Dean
- DJ's Home Care Specialists
- Dorcus Healthcare Services LLC
- Dr Crystal Malloy PHD LPC Mac Ceap LLC (Progressive & Innovative Counseling Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.