Individual provider Active NPI

Beverly J Oxley, PH.D., P.C.

  • Psychologist
  • Franklin Springs, GA
National Provider Identifier
1467514703
Registry record updated May 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2528 Issued in GA
Practice address
63 Springs Station Dr
Franklin Springs, GA 30639
Phone
(706) 246-0733
Fax
(706) 246-0722
NPI assigned
Dec 14, 2006
Last updated
May 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2528 GA Primary

Addresses

Primary practice location

63 Springs Station Dr
Franklin Springs, GA 30639

Mailing address

PO Box 157
Franklin Springs, GA 30639-0157
Phone (706) 246-0733

Other identifiers 2

IdentifierTypeStateIssuer
311838737OtherGATAX IDENTIFICATION NUMBER
546540227AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180515002039 GA Practitioner - Psychologist Billing Independently 1951665389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Wellsprings Counseling Services LLCGroup PAC ID 4587109046, 5 clinicians

Practice addresses (Care Compare)

63 Spring Station Rd
Royston, GA 30662-1990
Phone (706) 246-0733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Wellsprings Counseling Services LLC CurrentSince Jun 18, 2024 Accepting new patients
Beverly J Oxley, PHD PC Psychologist CurrentSince Feb 20, 2018 Accepting new patients
Wellsprings Psychological Resources Past Accepting new patients
Harold G. Rhoades PH.D. P.C. Psychologist PastSince Jun 18, 2024 Accepting new patients

Locations

63 Spring Station Rd
Royston, GA 30662
Phone (706) 246-0733

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1467514703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "FRANKLIN SPRINGS",
            "state": "GA",
            "postal_code": "306390157",
            "telephone_number": "706-246-0733",
            "fax_number": "706-246-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 SPRINGS STATION DR",
            "city": "FRANKLIN SPRINGS",
            "state": "GA",
            "postal_code": "30639",
            "telephone_number": "706-246-0733",
            "fax_number": "706-246-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OXLEY",
        "first_name": "BEVERLY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PH.D., P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "2528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "311838737",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "546540227A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.