NPIMap

Organization Active NPI

Phoenix Rising Psychiatric, Recovery & Sleep Services

  • Medical Specialty Clinic/Center
  • Fayetteville, GA
National Provider Identifier
1437888740
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
PHOENIX RISING PSYCHIATRIC, RECOVERY & SLEEP SERVICES
Doing business as
Phoenix Rising Psychiatric, Recovery & Sleep Services
Practice address
101 Devant St Ste 504
Fayetteville, GA 30214-2720
Phone
(770) 282-6962
Fax
(770) 282-6983
NPI assigned
Jun 10, 2022
Last updated
Jun 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Authorized official

Name
Dr. Ginari Gibb Price, MDNPI 1689676157
Title
Owner
Phone
(678) 709-9021

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
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

101 Devant St Ste 504
Fayetteville, GA 30214-2720

Mailing address

101 Devant St Ste 504
Fayetteville, GA 30214-2720
Phone (770) 282-6962

Other identifiers 1

IdentifierTypeStateIssuer
00000000000000000000OtherDO NOT HAVE THESE NUMBERS YET

Other names 1

  • Phoenix Rising Psychiatric, Recovery & Sleep Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EHR Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1437888740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DEVANT ST STE 504",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142720",
            "telephone_number": "770-282-6962",
            "fax_number": "770-282-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DEVANT ST STE 504",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142720",
            "telephone_number": "770-282-6962",
            "fax_number": "770-282-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RISING PSYCHIATRIC, RECOVERY & SLEEP SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "GINARI",
        "authorized_official_middle_name": "GIBB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-709-9021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DO NOT HAVE THESE NUMBERS YET",
            "identifier": "00000000000000000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "endpointDescription": "Electronic health record",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 Devant St Ste 504",
            "city": "Fayetteville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302142720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Phoenix Rising Psychiatric, Recovery & Sleep Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.