Individual provider Active NPI

Patricia G Jones-Nice, M.D.

  • Psychiatry Physician
  • Newnan, GA
National Provider Identifier
1467558619
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
052124 Issued in GA
Practice address
10 E Washington St
Newnan, GA 30263-1925
Phone
(770) 253-6001
Fax
(770) 253-6402
NPI assigned
Sep 15, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 052124 GA Primary

Addresses

Primary practice location

10 E Washington St
Newnan, GA 30263-1925

Mailing address

PO Box 71819
Newnan, GA 30271-1819
Phone (770) 253-6001

Other identifiers 3

IdentifierTypeStateIssuer
26BDKDPOtherGAPTAN
27-4711138OtherGAFED TAX ID - PRIVATE PRACTICE
052124OtherGAMEDICAL LIC - GEORGIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051020000131 GA Practitioner - Psychiatry 3072539956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 E Washington St
Newnan, GA 30263-1925
Phone (770) 253-6001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
052124GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Nice Psychiatry LLC Psychiatry CurrentSince Feb 1, 2011 Accepting new patients
Pathways Center for Behavioral and Developmental Growth Past Accepting new patients
Pathways Center for Behavioral & Developmental Growth PastSince Nov 24, 2019 Accepting new patients

Locations

10 E Washington St
Newnan, GA 30263
Phone (678) 378-8711

1933 Highway 34 E
Newnan, GA 30265
Phone (770) 253-6001

41 Farmer St
Ste 102
Newnan, GA 30263
Phone (404) 431-5470

Organizations & group practices 3

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1467558619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71819",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302711819",
            "telephone_number": "770-253-6001",
            "fax_number": "770-253-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E WASHINGTON ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631925",
            "telephone_number": "770-253-6001",
            "fax_number": "770-253-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-NICE",
        "first_name": "PATRICIA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2023-03-07",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "052124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "26BDKDP",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED TAX ID - PRIVATE PRACTICE",
            "identifier": "27-4711138",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LIC - GEORGIA",
            "identifier": "052124",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.