Active NPI
Courtney Whitaker, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Columbus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN296651
- Practice address
- 6003 Veterans Pkwy
Columbus, GA 31909-6200 - Phone
- (706) 223-1933
- Fax
- (706) 223-1934
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN059204 | GA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN296651 | GA | Primary |
Addresses
Primary practice location
6003 Veterans Pkwy
Columbus, GA 31909-6200
Mailing address
5300 Woodruff Farm Rd Apt 68
Columbus, GA 31907-1360
Phone (706) 366-9473
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
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6003 Veterans Pkwy
Suite 100
Columbus, GA 31909-6284
Phone (706) 223-1933
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN059204 | GA | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rivertown Psychiatry, PC | Current | Accepting new patients |
Locations
6003 Veterans Pkwy
Columbus, GA 31909
Phone (706) 222-1222
6003 Veterans Pkwy
Ste 100
Columbus, GA 31909
Phone (706) 223-1933
705 17th St
Ste 410
Columbus, GA 31901
Phone (706) 223-1933
5700 Veterans Pkwy
Columbus, GA 31904
Phone (706) 221-3222
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Columbus, GA
- NPI 1023362852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1255544581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 WOODRUFF FARM RD APT 68",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319071360",
"telephone_number": "706-366-9473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6003 VETERANS PKWY",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319096200",
"telephone_number": "706-223-1933",
"fax_number": "706-223-1934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITAKER",
"first_name": "COURTNEY",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "GA",
"license": "LPN059204",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "RN296651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.