Active NPI
Jonathan Rish, MSN, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Dacula, GA
National Provider Identifier
1396497236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN271537
- Practice address
- 256 McMillan Rd
Dacula, GA 30019-2337 - Phone
- (770) 624-2728
- Fax
- (770) 353-9819
- NPI assigned
- Jan 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN271537 | GA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN271537 | GA | Primary |
Addresses
Primary practice location
256 McMillan Rd
Dacula, GA 30019-2337
Mailing address
5997 Ash Hill PL
Hoschton, GA 30548-4115
Phone (850) 960-9581
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN271537 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1396497236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5997 ASH HILL PL",
"city": "HOSCHTON",
"state": "GA",
"postal_code": "305484115",
"telephone_number": "850-960-9581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 MCMILLAN RD",
"city": "DACULA",
"state": "GA",
"postal_code": "300192337",
"telephone_number": "770-624-2728",
"fax_number": "770-353-9819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISH",
"first_name": "JONATHAN",
"name_prefix": "Mr.",
"credential": "MSN, APRN, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-21",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN271537",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "RN271537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dacula, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.