Active NPI
Ginari Gibb Price, M.D.
- Psychiatry Physician
- Fayetteville, GA
National Provider Identifier
1689676157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 056712
- Practice address
- 101 Devant St
Ste 504
Fayetteville, GA 30214 - Phone
- (770) 703-4448
- Fax
- (770) 703-4038
- NPI assigned
- Aug 13, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 056712 | GA | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 056712 | GA | |
| Psychiatry Physician | 2084P0800X | 056712 | GA | Primary |
Addresses
Primary practice location
101 Devant St
Ste 504
Fayetteville, GA 30214
Mailing address
101 Devant St
Ste 504
Fayetteville, GA 30214-2720
Phone (770) 703-4448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056712 | GA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Rising Psychiatric, Recovery & Sleep Services | Current | Accepting new patients | |
| Avenia Behavioral Management, Inc | Psychiatry | Past | Accepting new patients |
Locations
101 Devant St
Ste 504
Fayetteville, GA 30214
Phone (678) 817-9983
Organizations & group practices 2
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.
-
- Medical Specialty Clinic/Center
- Fayetteville, GA
- NPI 1437888740
-
- Psychiatry Physician
- Marietta, GA
- NPI 1457395733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526860800000",
"number": "1689676157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 DEVANT ST",
"address_2": "STE 504",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302142720",
"telephone_number": "770-703-4448",
"fax_number": "770-703-4038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 DEVANT ST",
"address_2": "STE 504",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "30214",
"telephone_number": "770-703-4448",
"fax_number": "770-703-4038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "GINARI",
"middle_name": "GIBB",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-13",
"last_updated": "2018-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "GA",
"license": "056712",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "GA",
"license": "056712",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "056712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.