Organization Active NPI

Dr. Nice Psychiatry LLC

  • Psychiatry Physician
  • Newnan, GA
National Provider Identifier
1275839797
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
052124 Issued in GA
Legal business name
DR. NICE PSYCHIATRY LLC
Practice address
1933 Highway 34 E
Newnan, GA 30265-1327
Phone
(770) 253-6001
Fax
(770) 253-6402
NPI assigned
Jan 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Patricia G Jones-Nice, MDNPI 1467558619
Title
Owner / Rendering Provider
Phone
(770) 253-6001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 052124 GA Primary

Addresses

Primary practice location

1933 Highway 34 E
Newnan, GA 30265-1327

Mailing address

PO Box 71819
Newnan, GA 30271-1819
Phone (770) 253-6001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110503000052 GA Part B Supplier - Clinic/Group Practice 9537344858 Receives reassigned benefits from 1 practitioner
Practice locations: Newnan, GA

National Provider Directory

National Provider Directory

Locations

10 E Washington St
Newnan, GA 30263
Phone (678) 378-8711

1933 Highway 34 E
Newnan, GA 30265
Phone (770) 253-6001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1275839797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71819",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302711819",
            "telephone_number": "770-253-6001",
            "fax_number": "770-253-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 HIGHWAY 34 E",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651327",
            "telephone_number": "770-253-6001",
            "fax_number": "770-253-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. NICE PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "JONES-NICE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER / RENDERING PROVIDER",
        "authorized_official_telephone_number": "770-253-6001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "052124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.