Individual provider Active NPI

Farah S. James, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Stockbridge, GA
National Provider Identifier
1174232813
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN190985 Issued in GA
Practice address
255 Corporate Center Dr Ste C
Stockbridge, GA 30281-7376
Phone
(470) 256-0467
NPI assigned
Nov 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC008171 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN190985 GA Primary

Addresses

Primary practice location

255 Corporate Center Dr Ste C
Stockbridge, GA 30281-7376

Mailing address

139 Henry Pkwy
McDonough, GA 30253-6636

Other practice location 1

139 Henry Pkwy
McDonough, GA 30253-6636
Phone (770) 358-5252

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
I20231114001768 GA Practitioner - Nurse Practitioner 5193172021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1209 Greenbelt Dr
Griffin, GA 30224-4507
Phone (770) 358-5252

139 Henry Pkwy
McDonough, GA 30253-6636
Phone (770) 898-7403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC008171GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
McIntosh Trail Community Service Board CurrentSince Sep 16, 2023 Accepting new patients
Springforth Mental Health & Wellness, LLC Psychiatric/Mental Health Current Accepting new patients
McIntosh Trail Community Service Board CurrentSince Sep 16, 2023 Accepting new patients

Locations

1435 N Expressway
Ste 301
Griffin, GA 30223
Phone (678) 516-5179

1209 Greenbelt Dr
Griffin, GA 30224
Phone (770) 358-8258

139 Henry Pkwy
McDonough, GA 30253
Phone (770) 898-7400

255 Corporate Center Dr
Ste C
Stockbridge, GA 30281
Phone (678) 478-2937

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.

NPI Registry JSON

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1174232813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 HENRY PKWY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 CORPORATE CENTER DR STE C",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817376",
            "telephone_number": "470-256-0467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "139 Henry Pkwy",
            "address_purpose": "LOCATION",
            "city": "McDonough",
            "state": "GA",
            "postal_code": "302536636",
            "country_code": "US",
            "telephone_number": "770-358-5252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "FARAH",
        "middle_name": "S.",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008171",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN190985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.