Individual provider Active NPI

Nick Carden, PHD

  • Psychologist
  • Albany, GA
National Provider Identifier
1710969654
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
506 N Jackson St
Renaissance Centre
Albany, GA 31701-2308
Phone
(229) 889-7200
Fax
(229) 889-7393
NPI assigned
Nov 16, 2005
Last updated
Jun 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

506 N Jackson St
Renaissance Centre
Albany, GA 31701-2308

Mailing address

506 N Jackson St
Renaissance Centre
Albany, GA 31701-2308
Phone (229) 889-7200

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111220000733 GA Practitioner - Clinical Psychologist 6406022540 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colquitt Regional Psychiatry LLCGroup PAC ID 4981012655, 8 clinicians

Practice addresses (Care Compare)

3131 S Main St
Moultrie, GA 31768-6925
Phone (229) 891-9443

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Area Primary Health Care, Inc CurrentSince Jan 2, 2019 Accepting new patients
The Renaissance Centre, Inc. Psychologist CurrentSince Oct 20, 1989 Accepting new patients
Albany Area Primary Health Care, Inc. CurrentSince Jan 2, 2019 Accepting new patients
Covenant Counseling Center, Inc. Psychologist CurrentSince Jan 1, 2014 Accepting new patients
Albany Area Primary Health Care, Inc. Current Accepting new patients
Albany Area Primary Health Care, Inc. Past Accepting new patients

Locations

1300 Newton Rd
Albany, GA 31701
Phone (229) 431-1320

1305 E 2nd Ave
Albany, GA 31705
Phone (229) 405-6189

1425 W Oakridge Dr
Albany, GA 31707
Phone (229) 405-6233

1700 Cordell Ave
Albany, GA 31705
Phone (229) 405-6235

1712 E Broad Ave
#A
Albany, GA 31705
Phone (229) 639-3100

1712 E Broad Ave
#C
Albany, GA 31705
Phone (229) 639-3103

1712 E Broad Ave
Ste A
Albany, GA 31705
Phone (229) 405-6192

2001 Leonard Ave
Albany, GA 31705
Phone (229) 435-9934

204 Westover Blvd
Albany, GA 31707
Phone (229) 888-6559

2100 Palmyra Rd
Albany, GA 31701
Phone (229) 446-1990

2403 Osler Ct
Ste A
Albany, GA 31707
Phone (229) 405-6196

2403 Osler Ct
Ste B
Albany, GA 31707
Phone (229) 405-6196

2408 Westgate Dr
Albany, GA 31707
Phone (229) 888-6559

401 S Madison St
Albany, GA 31701
Phone (229) 405-6959

4529 Gillionville Rd
Albany, GA 31721
Phone (229) 405-6188

506 N Jackson St
Albany, GA 31701
Phone (229) 889-7200

615 Barlow St
Americus, GA 31709
Phone (229) 338-7586

455 Greenwave Blvd
Dawson, GA 39842
Phone (229) 405-6238

505 Forrester Dr SE
Dawson, GA 39842
Phone (229) 995-2990

118 Robert B Lee Dr
Leesburg, GA 31763
Phone (229) 759-6508

235 Walnut Ave S
Leesburg, GA 31763
Phone (229) 759-6508

600 2nd St SE
Moultrie, GA 31768
Phone (229) 890-2288

327 Sunset Ave SW
#3
Newton, GA 39870
Phone (229) 734-5250

11949 US Highway 41
Pinehurst, GA 31070
Phone (229) 405-6249

Interoperability endpoints

  • Direct secure messaging: nick.carden@aaphc.eclinicaldirectplus.com

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1710969654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 N JACKSON ST",
            "address_2": "RENAISSANCE CENTRE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012308",
            "telephone_number": "229-889-7200",
            "fax_number": "229-889-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 N JACKSON ST",
            "address_2": "RENAISSANCE CENTRE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012308",
            "telephone_number": "229-889-7200",
            "fax_number": "229-889-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDEN",
        "first_name": "NICK",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.