Active NPI
Ann Sidwell Pike, PH.D.
- Psychologist
- Jasper, GA
National Provider Identifier
1477600906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1346
- Practice address
- 201 Cove Rd
Jasper, GA 30143-1356 - Phone
- (706) 253-9515
- Fax
- (706) 253-9516
- NPI assigned
- Jan 5, 2007
- Last updated
- Jun 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1346 | GA | Primary |
Addresses
Primary practice location
201 Cove Rd
Jasper, GA 30143-1356
Mailing address
201 Cove Rd
Jasper, GA 30143-1356
Phone (706) 253-9515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00425092B | Medicaid | GA |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080822000157 | GA | Practitioner - Clinical Psychologist | 1557436714 | Practice locations: Jasper, GA; Woodstock, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
201 Cove Rd
Jasper, GA 30143-1356
Phone (706) 253-9515
8910 Main St
Woodstock, GA 30188-4916
Phone (770) 924-1818
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1346 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaplan Counseling Inc. | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Woodstock, GA
- NPI 1124225271
Psychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212451200000",
"number": "1477600906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 COVE RD",
"city": "JASPER",
"state": "GA",
"postal_code": "301431356",
"telephone_number": "706-253-9515",
"fax_number": "706-253-9516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 COVE RD",
"city": "JASPER",
"state": "GA",
"postal_code": "301431356",
"telephone_number": "706-253-9515",
"fax_number": "706-253-9516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIKE",
"first_name": "ANN",
"middle_name": "SIDWELL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2008-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "1346",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00425092B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, GA
- Pickens Urgent Care LLC
- Piedmont Mountainside Hospital, Inc (Piedmont Mountainside Hosptial Swing Bed Unit)
- Piedmont Mountainside Hospital, Inc. (Piedmont Mountainside Hospital)
- Piedmont Providers LLC
- Piedmont Specialty Hospital Billing LLC
- Pinnacle Orthopaedics & Sports Medicine
- Suzanne Teresa Plumley, PT
- James W Potter, MSPT
- Zakary Prem
- Jenna Lee Prince-Farmer, R.D. , L.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.