Jennifer Logan, DNP, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

249421 Issued in GA

Practice address

519 Blackburn Dr Ste 523
Martinez, GA 30907-8202

Phone

(706) 524-7134

NPI assigned

Aug 10, 2020

Last updated

Oct 12, 2024By the provider in NPPES

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Serene HealthGroup PAC ID 0244652139, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Serene Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aiken, SC
  • NPI 1114622693

  GA

  Medicare reassignment Care Compare group NPD
• Augusta Psychiatry and Therapy Associates, LLC

  • Mental Health Counselor
  • Augusta, GA
  • NPI 1619780392
  Medicare reassignment NPD
• Evolve Managed Care Solutions

  • Psychiatry Physician
  • Augusta, GA
  • NPI 1336843499
  Medicare reassignment NPD
• Personal Recovery Network LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869
  Medicare reassignment NPD
• Serene Health Ipa

  • Psychiatric/Mental Health Nurse Practitioner
  • Aiken, SC
  • NPI 1235950080
  NPD
• Resolution Counseling Professionals

  • Professional Counselor
  • Augusta, GA
  • NPI 1700298270
  NPD (past)

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1194335620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 BLACKBURN DR STE 523",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309078202",
            "telephone_number": "706-524-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 BLACKBURN DR STE 523",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309078202",
            "telephone_number": "706-524-7134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "424 Scotts Way",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309093135",
            "country_code": "US",
            "telephone_number": "706-627-3090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "249421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LHCG Clxiv, LLC (University Home Health Services)
• Life Alarm Services, Inc
• Andreana Lindsay
• Michael John Lirette Jr.
• Jaquana Lobdell
• Kimberly S Logue, OTRL
• Ashley Sherwood London, PHARMD
• Grant Quan Loo, DMD
• Loving Hands Mobile Phlebotomy & More Services, LLC
• Alicia Lowe

• Psychiatric/Mental Health Nurse Practitioner in Martinez, GA
• Providers in Martinez, 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 Oct 12, 2024; 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.