Individual provider Active NPI

Deborah A Reed, RN-CNS/PMH

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Stone Mountain, GA
National Provider Identifier
1154358208
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
102945 Issued in GA
Practice address
10 Wolverton CT
Stone Mountain, GA 30087-2514
Phone
(770) 778-1349
Fax
(678) 348-7291
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 102945 GA Primary

Addresses

Primary practice location

10 Wolverton CT
Stone Mountain, GA 30087-2514

Mailing address

PO Box 1576
Tucker, GA 30085-1576
Phone (770) 778-1349

Other identifiers 3

IdentifierTypeStateIssuer
83-01926OtherGAEVERCARE
000958284BMedicaidGA
P00138603OtherGARR MEDICARE

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
I20040726000874 GA Practitioner - Nurse Practitioner 2769462035 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charnat LLCGroup PAC ID 1153774799, 2 clinicians

Practice addresses (Care Compare)

3911 Mary Eliza Trce NW
Suite 200
Marietta, GA 30064-1088
Phone (678) 631-9907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
102945GAMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Charnat LLC CurrentSince Jun 21, 2024 Accepting new patients
Atlanta Psychiatry & Neurology Current Accepting new patients
Greater Gwinnett Physician Practice Company Past Accepting new patients
D R Health Services PC Past Accepting new patients
Gary S Figiel MD PC PastSince Apr 9, 2018 Accepting new patients
Avenia Behavioral Management, Inc Past Accepting new patients
D. R. Health Services, P.C. Past Accepting new patients
Georgia Mountains Community Services Past Accepting new patients

Locations

3911 Mary Eliza Trce NW
Ste 200
Marietta, GA 30064
Phone (678) 384-3480

3188 Atlanta Rd SE
Smyrna, GA 30080
Phone (770) 319-6000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHAGBD

Organizations & group practices 8

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154358208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1576",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300851576",
            "telephone_number": "770-778-1349",
            "fax_number": "678-348-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WOLVERTON CT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300872514",
            "telephone_number": "770-778-1349",
            "fax_number": "678-348-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "credential": "RN-CNS/PMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "GA",
            "license": "102945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "83-01926",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000958284B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00138603",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

Verify at the official NPI Registry.