Georgia Nicole Bigger
Individual provider Active NPI Peer Specialist · Altus, OK
NPI 1457063877 · NPPES record last updated Dec 16, 2022
Key facts
- NPI
- 1457063877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 218 W Cypress St
Altus, OK 73521-3713 - Phone
- (580) 481-8760
- NPI assigned
- Dec 16, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Amethyst House, Inc | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
218 W Cypress St
Altus, OK 73521-3713
Mailing address
PO Box 16
Altus, OK 73522-0016
Phone (580) 301-2406
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073249942 | Other | AMETHYST HOUSE, INC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | gnoyola1022@icloud.com | Direct |
Other providers in Altus, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.