Individual provider Active NPI

Joanne B Harris

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1710616784
Registry record updated May 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN25421 Issued in GA
Practice address
5205 Buena Vista Rd
Columbus, GA 31907-5164
Phone
(478) 918-4040
NPI assigned
Jun 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN25421 GA
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X RN25421 GA Primary

Addresses

Primary practice location

5205 Buena Vista Rd
Columbus, GA 31907-5164

Mailing address

204 Dupont CT
McDonough, GA 30252-5844
Phone (770) 285-6049

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250509001024 GA Practitioner - Nurse Practitioner 1153848411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Interlinked Counseling and Consulting LLCGroup PAC ID 6800275520, 2 clinicians

Practice addresses (Care Compare)

1257 Commercial Dr SW
Suite a
Conyers, GA 30094-5991
Phone (770) 285-6049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN25421GAMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Interlinked Counseling and Consulting Services LLC Multi-Specialty CurrentSince Mar 15, 2025 Accepting new patients
Marie's Personal Home Care CurrentSince Jun 12, 2022 Accepting new patients

Locations

1257 Commercial Dr SW
Ste A
Conyers, GA 30094
Phone (770) 285-6049

1253 Commercial Dr SW
#A
Conyers, GA 30094
Phone (404) 957-5266

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.

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684540800000",
    "number": "1710616784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 DUPONT CT",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302525844",
            "telephone_number": "770-285-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 BUENA VISTA RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319075164",
            "telephone_number": "478-918-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JOANNE",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2023-05-20",
        "certification_date": "2023-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "GA",
            "license": "RN25421",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN25421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.