Active NPI
Blooming Minds Psychiatry, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Thomasville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- BLOOMING MINDS PSYCHIATRY, LLC
- Practice address
- 218 W Jackson St Unit 206
Thomasville, GA 31792-5491 - Phone
- (229) 231-0480
- NPI assigned
- Feb 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Paige Oliver
- Title
- Clinical Director
- Phone
- (850) 545-7838
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
218 W Jackson St Unit 206
Thomasville, GA 31792-5491
Mailing address
491 Rogers Rd
Thomasville, GA 31757-0830
Phone (850) 545-7838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
218 W Jackson St
Unit 206
Thomasville, GA 31792
Phone (229) 231-0480
317 S Broad St
Thomasville, GA 31792
Phone (229) 231-0480
317 S Broad St
Ste 101
Thomasville, GA 31792
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Thomasville, GA
- NPI 1114585940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771459200000",
"number": "1427901388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "491 ROGERS RD",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317570830",
"telephone_number": "850-545-7838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 W JACKSON ST UNIT 206",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317925491",
"telephone_number": "229-231-0480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOOMING MINDS PSYCHIATRY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-19",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A",
"authorized_official_last_name": "OLIVER",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "PAIGE",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "850-545-7838"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thomasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.