Maximized Mentality

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MAXIMIZED MENTALITY

Practice address

3295 River Exchange Dr Ste 211
Norcross, GA 30092-4204

Phone

(770) 405-9855

NPI assigned

Jul 3, 2023

Organization subpart

Yes

Parent organization

MAXIMIZED MENTALITYAs reported in NPPES

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

Authorized official

Name

Dr. Tremeze Jackson, DNP,PMHNP-BC, FNP-CNPI 1477076792

Title

Ceo/Nurse Practitioner

Phone

(770) 405-9855

Specialties & licenses 7

Addresses

Part of

Maximized Mentality

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tremeze Scott Jackson, PMHNP-BC, FNP-C

  • Family Nurse Practitioner
  • Norcross, GA
  • NPI 1477076792
  NPD Authorized official

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1518644459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 BROOKSTONE DR NW STE 250",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301017183",
            "telephone_number": "770-405-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 RIVER EXCHANGE DR STE 211",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924204",
            "telephone_number": "770-405-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMIZED MENTALITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAXIMIZED MENTALITY",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-02",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TREMEZE",
        "authorized_official_title_or_position": "CEO/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "770-405-9855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP,PMHNP-BC, FNP-C"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Catherine Martino, NP-C
• Faniska Massillon
• Match Medical Supplies Inc.
• Matrix Evaluation and Counseling Services LLC
• Jairus-Joaquin R Matthews
• Kerone Maxineau, OTR/L
• Maxliving Norcross LLC
• Rachael Maxwell, PA-C
• Reginald Mayers
• Mayfield Chiropractic Center, P.C.

• Adult Mental Health Clinic/Center in Norcross, GA
• Providers in Norcross, GA by specialty
• Adult Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.