Katina Edwards, APRN-PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN195797 Issued in GA

Practice address

1209 Greenbelt Dr
Griffin, GA 30224-4507

Phone

(770) 358-8338

NPI assigned

Jun 25, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Personal Recovery Network LLC

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869
  Medicare reassignment NPD

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

{
    "created_epoch": "1466812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466812800000",
    "number": "1629429212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 GREENBELT DR",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 GREENBELT DR",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244507",
            "telephone_number": "770-358-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KATINA",
        "credential": "APRN-PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-25",
        "last_updated": "2016-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN195797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ear Dynamics, Inc.
• Earl S. Golightly, M.D.,P.C
• Economy Dentures and Implants
• Derrick Quinton Edwards, M.D.
• Donald Q Edwards, LDO
• Jeanne Nicole Eisenbrown, MD
• Sarah Eldridge, OTR/L
• Rosalind Elaine Eleby
• Shannon M Eller, LPC, CCADC, NCC, CSS
• John M Ellerbee, PT

• Psychiatric/Mental Health Nurse Practitioner in Griffin, GA
• Providers in Griffin, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.