Active NPI
Andriea Thompson
- Psychiatric/Mental Health Nurse Practitioner
- Griffin, GA
National Provider Identifier
1124537063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN250157
- Practice address
- 1209 Greenbelt Dr
Griffin, GA 30224-4507 - Phone
- (770) 358-5252
- Fax
- (770) 229-3223
- NPI assigned
- Sep 22, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- McDonough, GA
- NPI 1912728650
Psychiatric/Mental Health
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230831000389 | GA | Practitioner - Nurse Practitioner | 8729441209 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solid Souls Wellness and Health LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Inner Community Health | Current | Accepting new patients | |
| Rhodium Care Group of Ga LLC | Current | Accepting new patients |
Locations
2180 Satellite Blvd
Ste 400
Duluth, GA 30097
Phone (770) 256-3765
922 McDonough Rd
Jackson, GA 30233
Phone (770) 775-7832
10700 Medlock Bridge Rd
Ste 104
Johns Creek, GA 30097
Phone (770) 476-9885
2013 Cedarbridge Ave
Lakewood, NJ 08701
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN250157 | GA | Primary |
Addresses
Primary practice location
1209 Greenbelt Dr
Griffin, GA 30224-4507
Mailing address
1435 N Expressway Ste 301
Griffin, GA 30223-9014
Phone (770) 358-5252
NPI Registry JSON
{
"created_epoch": "1506038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1124537063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1435 N EXPRESSWAY STE 301",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302239014",
"telephone_number": "770-358-5252",
"fax_number": "770-229-3223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 GREENBELT DR",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244507",
"telephone_number": "770-358-5252",
"fax_number": "770-229-3223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "ANDRIEA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-22",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "RN250157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.