Individual provider Active NPI

Adetrice Shawnte Strown, MSN,APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucker, GA
National Provider Identifier
1629715206
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN229606 Issued in GA
Practice address
4500 Hugh Howell Rd Ste 145
Tucker, GA 30084-4713
Phone
(470) 946-6876
Fax
(404) 595-1497
NPI assigned
May 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 53-83069-072 KS
Registered Nurse 163W00000X RN229606 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN229606 GA Primary

Addresses

Primary practice location

4500 Hugh Howell Rd Ste 145
Tucker, GA 30084-4713

Mailing address

PO Box 366433
Atlanta, GA 30336-6433

Other practice location 1

2001 Claflin Rd
Manhattan, KS 66502-3415
Phone (785) 587-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240711000320 KS Practitioner - Nurse Practitioner 4587109897 Reassigns benefits to 1 organization
I20250221003102 GA Practitioner - Nurse Practitioner 4587109897 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
R3 Behavioral Health Services LLCGroup PAC ID 0446745558, 2 clinicians

Practice addresses (Care Compare)

4500 Hugh Howell Rd
Suite 145
Tucker, GA 30084-4713
Phone (470) 946-6876

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN229606GAMDPsychiatric/Mental Health Nurse Practitioner
53-83069-072KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Naveed S Ummed., M.D. Inc. Single Specialty CurrentSince Feb 28, 2025 Accepting new patients
R3 Behavioral Health Services LLC Single Specialty CurrentSince Oct 20, 2025 Accepting new patients
Pawnee Mental Health Service, Inc. Single Specialty CurrentSince Jul 2, 2024 Accepting new patients
Pawnee Mental Health Service, Inc. CurrentSince Jul 2, 2024 Accepting new patients

Locations

10475 Medlock Bridge Rd
Ste 420
Johns Creek, GA 30097
Phone (470) 737-1569

4500 Hugh Howell Rd
Ste 145
Tucker, GA 30084
Phone (404) 482-0341

814 Caroline Ave
Junction City, KS 66441
Phone (785) 762-5250

1558 Hayes Dr
Manhattan, KS 66502
Phone (785) 587-4315

2001 Claflin Rd
Manhattan, KS 66502

Organizations & group practices 4

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": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1629715206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366433",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303366433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 HUGH HOWELL RD STE 145",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844713",
            "telephone_number": "470-946-6876",
            "fax_number": "404-595-1497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Claflin Rd",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665023415",
            "country_code": "US",
            "telephone_number": "785-587-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STROWN",
        "first_name": "ADETRICE",
        "middle_name": "SHAWNTE",
        "credential": "MSN,APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-83069-072",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN229606",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN229606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

Verify at the official NPI Registry.