Individual provider Active NPI

Jacquelyn Denise Owens, APRN, CNS/PMH-BC

  • Psychiatric/Mental Health Registered Nurse
  • Smyrna, GA
National Provider Identifier
1184845513
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN115796 Issued in GA
Practice address
3188 Atlanta Rd SE
Smyrna, GA 30080-8256
Phone
(770) 319-6000
NPI assigned
May 2, 2007
Last updated
Nov 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111115000465 GA Practitioner - Certified Clinical Nurse Specialist (CNS) 9133393846 Reassigns benefits to 4 organizations

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
View Point HealthGroup PAC ID 0840272282, 33 clinicians

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

OrganizationSpecialtyStatusNew patients
Atlanta Psychiatry & Neurology CurrentSince Nov 19, 2011 Accepting new patients
River Edge Behavioral Health Center CurrentSince Apr 1, 2017 Accepting new patients
View Point Health CurrentSince Jul 1, 2014 Accepting new patients
Personal Recovery Network LLC CurrentSince Dec 23, 2020 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.