Roshaundra C Phifer, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN195744 Issued in GA

Practice address

2810 Peachtree Industrial Blvd Ste D
Duluth, GA 30097-8142

Phone

(404) 381-1178

NPI assigned

Jul 10, 2023

Sex

Female

Sole proprietor

Yes

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• New Directions Behavior Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Duluth, GA
  • NPI 1699505453

  Single Specialty

  Medicare reassignment NPD Authorized official
• Avant Behavioral Consultants Inc

  • Psychiatry Physician
  • Austell, GA
  • NPI 1598250342

  Single Specialty

  Medicare reassignment NPD
• Peace of Mine

  • General Practice Physician
  • Duluth, GA
  • NPI 1841937133

  Single Specialty

  Medicare reassignment NPD
• Clearminds Behavioral Health LLC

  • Psychiatry Physician
  • Palo Alto, CA
  • NPI 1437833753

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1326726431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 HUNTERHILL DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754214",
            "telephone_number": "219-973-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 PEACHTREE INDUSTRIAL BLVD STE D",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978142",
            "telephone_number": "404-381-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIFER",
        "first_name": "ROSHAUNDRA",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN195744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylin Grace Pfitzer, SLP
• Truc Pham, RN
• Christina T Phan, OD
• Felicia D Pharagood Wade, MD
• David Blake Pharis, MD
• Chontasia Phillips
• Joel Kent Phillips, PA
• Mackenzie Phillips, DPT
• Nyasia Phillips
• Taylor Phillips, RBT

• Psychiatric/Mental Health Nurse Practitioner in Duluth, GA
• Providers in Duluth, 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 Jul 10, 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.
• 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.