Individual provider Active NPI

Tameika Bogan-Patterson, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1508589862
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN210781 Issued in GA
Practice address
2201 Buena Vista Rd Ste B1
Columbus, GA 31906-3121
Phone
(706) 577-1760
NPI assigned
Sep 22, 2022
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN210781 GA Primary

Addresses

Primary practice location

2201 Buena Vista Rd Ste B1
Columbus, GA 31906-3121

Mailing address

2201 Buena Vista Rd Ste B1
Columbus, GA 31906-3121
Phone (706) 577-1760

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250214002306 GA Practitioner - Nurse Practitioner 7911313341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Horizons Area MH Mr Sa ProgramGroup PAC ID 5698683431, 7 clinicians

Practice addresses (Care Compare)

2100 Comer Ave
Columbus, GA 31904-8725
Phone (706) 596-5583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons Area MH Mr Sa Program Current Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jan 7, 2025 Accepting new patients
Abundant Grace and Blessings by T CurrentSince Sep 1, 2022 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

2100 Comer Ave
Columbus, GA 31904
Phone (706) 323-0174

2201 Buena Vista Rd
Ste B1
Columbus, GA 31906
Phone (706) 577-1760

Interoperability endpoints

  • Direct secure messaging: tboganpatterson@directmd.nhbh.org

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": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1508589862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 BUENA VISTA RD STE B1",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319063121",
            "telephone_number": "706-577-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 BUENA VISTA RD STE B1",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319063121",
            "telephone_number": "706-577-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGAN-PATTERSON",
        "first_name": "TAMEIKA",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN210781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.