Active NPI
K. Nikki Barefoot, PSY.D.
- Psychologist
- Sandy Springs, GA
National Provider Identifier
1194157529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 5887 Glenridge Dr Ste 230
Sandy Springs, GA 30328-9929 - Phone
- (912) 601-3241
- NPI assigned
- Aug 8, 2013
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
5887 Glenridge Dr Ste 230
Sandy Springs, GA 30328-9929
Mailing address
PO Box 4406
Alpharetta, GA 30023-4406
Other names 1
- Dr. Nikki Barefoot
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jun 26, 2017 through Jun 26, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Georgia Psychodynamic Center, LLC | Past | Accepting new patients | |
| Statesboro Psychiatric Associates | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Statesboro, GA
- NPI 1871033654
-
- Psychiatry Physician
- Statesboro, GA
- NPI 1083830400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1194157529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4406",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300234406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5887 GLENRIDGE DR STE 230",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303289929",
"telephone_number": "912-601-3241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAREFOOT",
"first_name": "K. NIKKI",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-08",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NIKKI",
"last_name": "BAREFOOT",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.