Angela Paige Queen, NPC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN130471 Issued in GA

Practice address

1248 Flint Rd
Forsyth, GA 31029-6823

Phone

(478) 960-2887

NPI assigned

Mar 15, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Mentalease LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Forsyth, GA
  • NPI 1538025028

  Family

  Medicare reassignment NPD Authorized official
• Southeastern Surgical Oncology

  • Specialist
  • Macon, GA
  • NPI 1205014057
  NPD (past)
• Wellness Connect

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1720456163
  NPD (past)

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1174822258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 FLINT RD",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310296823",
            "telephone_number": "478-960-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 FLINT RD",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310296823",
            "telephone_number": "478-960-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEEN",
        "first_name": "ANGELA",
        "middle_name": "PAIGE",
        "name_prefix": "Dr.",
        "credential": "NPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-15",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN130471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pruitthealth - Forsyth, LLC
• Pruitthealth - Monroe, LLC
• Kristen Joyce Puzio, MA
• PWT Enterprises, Inc.
• Queen Consultants, LLC
• Jeffrey M. Quinn, ATC,CSCS,LAT
• Wesley Alexander Ridley, MD
• River Edge Behavioral Health Center
• River Edge Behavioral Health Center
• River Edge Behavioral Health Center

• Psychiatric/Mental Health Nurse Practitioner in Forsyth, GA
• Providers in Forsyth, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.