Individual provider Active NPI

Nia Michelle Sipp, MD

  • Addiction Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1609905959
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
61347 Issued in GA
Practice address
733 Cherokee Ave SE
Atlanta, GA 30315-1417
Phone
(410) 409-2348
NPI assigned
Mar 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 61347 GA
Child & Adolescent Psychiatry Physician 2084P0804X 88237 SC
Child & Adolescent Psychiatry Physician 2084P0804X 46867 AZ
Addiction Psychiatry Physician 2084P0802X 61347 GA Primary
Psychiatry Physician 2084P0800X 46867 AZ
Psychiatry Physician 2084P0800X 88273 SC
Psychiatry Physician 2084P0800X 61347 GA
Addiction Psychiatry Physician 2084P0802X 46867 AZ
Addiction Psychiatry Physician 2084P0802X 88273 SC

Addresses

Primary practice location

733 Cherokee Ave SE
Atlanta, GA 30315-1417

Mailing address

733 Cherokee Ave SE
Atlanta, GA 30315-1417
Phone (678) 631-7993

Other practice location 1

958 Joe Frank Harris Pkwy SE
Ste 103
Cartersville, GA 30120-2174
Phone (770) 812-3380

Other practice location 2

215 Church St Ste 110
Decatur, GA 30030-3318
Phone (678) 631-7993

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
I20120501000215 GA Practitioner - Psychiatry 9133381676 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Southeast Permanente Medical GroupGroup PAC ID 6204829013, 823 clinicians

Practice addresses (Care Compare)

3495 Piedmont Rd NE
Atlanta, GA 30305-1729
Phone (404) 364-7206

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46867AZMDPsychiatry Physician
61347GAMDPsychiatry Physician
88273SCMDAddiction Psychiatry Physician
88237SCMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health Medical Group LLC CurrentSince Oct 18, 2022 Accepting new patients
Medcura Health, Inc. CurrentSince May 24, 2021 Accepting new patients
The Southeast Permanente Medical Group Family Medicine CurrentSince Feb 21, 2024 Accepting new patients
Medcura Health, Inc. CurrentSince May 24, 2021 Accepting new patients
Personal Recovery Network LLC Psychiatry CurrentSince Jul 16, 2020 Accepting new patients
West Cobb Medical Associates, LLC Past Accepting new patients

Locations

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

2541 Milledgeville Rd
Augusta, GA 30904
Phone (706) 735-2581

2122 Cumming Rd
Augusta, GA 30904
Phone (706) 737-8258

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

5582 Memorial Dr
Stone Mountain, GA 30083
Phone (404) 513-9965

770 Village Square Dr
Stone Mtn, GA 30083
Phone (404) 298-7658

5351 Montessouri St
Las Vegas, NV 89113
Phone (702) 251-2200

2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nia.sipp.1@9679.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/5606/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1609905959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 CHEROKEE AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303151417",
            "telephone_number": "678-631-7993",
            "fax_number": "404-759-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 CHEROKEE AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303151417",
            "telephone_number": "410-409-2348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "958 Joe Frank Harris Pkwy SE",
            "address_2": "Ste 103",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "301202174",
            "country_code": "US",
            "telephone_number": "770-812-3380",
            "fax_number": "770-812-3419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Church St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300303318",
            "country_code": "US",
            "telephone_number": "678-631-7993",
            "fax_number": "404-759-2288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIPP",
        "first_name": "NIA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-04",
        "last_updated": "2022-08-11",
        "certification_date": "2020-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GA",
            "license": "61347",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "SC",
            "license": "88237",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AZ",
            "license": "46867",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "GA",
            "license": "61347",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "46867",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "88273",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "61347",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "AZ",
            "license": "46867",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "SC",
            "license": "88273",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.