Active NPI
Jacquelyn Denise Owens, APRN, CNS/PMH-BC
- Psychiatric/Mental Health Registered Nurse
- Smyrna, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- RN115796
- Practice address
- 3188 Atlanta Rd SE
Smyrna, GA 30080-8256 - Phone
- (770) 319-6000
- NPI assigned
- May 2, 2007
- Last updated
- Nov 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 Registered Nurse | 163WP0808X | RN115796 | GA | Primary |
Addresses
Primary practice location
3188 Atlanta Rd SE
Smyrna, GA 30080-8256
Mailing address
3263 Boulder Brook Dr
Lithonia, GA 30038-3004
Phone (770) 482-7184
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
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
175 Gwinnett Dr
Lawrenceville, GA 30046-8444
Phone (770) 339-5071
977 Taylor SWST a
Conyers, GA 30012-5357
Phone (770) 918-6677
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Psychiatry & Neurology | Current | Accepting new patients | |
| River Edge Behavioral Health Center | Current | Accepting new patients | |
| View Point Health | Current | Accepting new patients | |
| Personal Recovery Network LLC | Current | Accepting new patients |
Locations
977 Taylor St SW
#A
Conyers, GA 30012
Phone (770) 785-5910
175 Gwinnett Dr
Lawrenceville, GA 30046
Phone (678) 209-2394
175 Emery Hwy
Macon, GA 31217
Phone (478) 751-4446
7741 Roswell Rd
Sandy Springs, GA 30350
Phone (404) 612-2273
3188 Atlanta Rd SE
Smyrna, GA 30080
Phone (770) 319-6000
2301 Henry Clower Blvd
Ste A
Snellville, GA 30078
Phone (770) 978-9393
250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HHAGBD
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lawrenceville, GA
- NPI 1609853860
-
- Psychologist
- Smyrna, GA
- NPI 1043348519
-
dba LifeStance Health
- Psychiatry Physician
- Stockbridge, GA
- NPI 1881990869
-
- Community/Behavioral Health Agency
- Macon, GA
- NPI 1174512966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320192000000",
"number": "1184845513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3263 BOULDER BROOK DR",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300383004",
"telephone_number": "770-482-7184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3188 ATLANTA RD SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300808256",
"telephone_number": "770-319-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "JACQUELYN",
"middle_name": "DENISE",
"name_prefix": "Miss",
"credential": "APRN, CNS/PMH-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2011-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "GA",
"license": "RN115796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.