Jan T Nodine, PMHCNS-BC

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

140654 Issued in GA

Practice address

1561 Tappan Spur Rd
Watkinsville, GA 30677-3845

Phone

(706) 247-1436

NPI assigned

Jan 3, 2008

Last updated

Oct 6, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jan T Nodine Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jan.nodine@advantage.gadirect.net

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.

• Advantage Behavioral Health Systems

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Athens, GA
  • NPI 1942270558
  NPD (past)
• Psychiatric Services of America

  • Psychiatry Physician
  • Lawrenceville, GA
  • NPI 1508087792
  NPD (past)
• Salveo Integrative Health

  • Psychiatry Physician
  • Lawrenceville, GA
  • NPI 1548513211
  NPD (past)

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1548445091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 TAPPAN SPUR RD",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306773845",
            "telephone_number": "706-247-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 TAPPAN SPUR RD",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306773845",
            "telephone_number": "706-247-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NODINE",
        "first_name": "JAN",
        "middle_name": "T",
        "credential": "PMHCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "GA",
            "license": "140654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAN",
            "last_name": "NODINE",
            "middle_name": "T",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sheryl A Newberry, NP
• Caitlyn Newby, RBT
• Amanda L Newton, LCSW
• Marcie Nicks, NP
• Jessica Niko, LCSW
• Quandala Norman, RBT
• Jasmine Norton, RBT
• Haiden Alizabeth Nunn, AUD
• Jillian O'Melia, OT
• Leslie O'Neal, BT

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; 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.