Individual provider Active NPI

Janice R Hughes, PHD

  • Clinical Psychologist
  • Gainesville, GA
National Provider Identifier
1740217710
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1787 Issued in GA
Practice address
200 W Academy St NW
Suite a
Gainesville, GA 30501-8524
Phone
(770) 535-1284
Fax
(770) 536-3888
NPI assigned
Jun 27, 2006
Last updated
Sep 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1787 GA Primary

Addresses

Primary practice location

200 W Academy St NW
Suite a
Gainesville, GA 30501-8524

Mailing address

200 W Academy St NW
Suite a
Gainesville, GA 30501-8524
Phone (770) 535-1284

Other identifiers 1

IdentifierTypeStateIssuer
00593051BMedicaidGA

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
I20070106000007 GA Practitioner - Clinical Psychologist 9335149806 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1787GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Psychological & Medical Consultants, LLC Clinical CurrentSince Jun 6, 1994 Accepting new patients

Locations

200 S Enota Dr NE
Ste 400
Gainesville, GA 30501
Phone (404) 535-1284

200 W Academy St NW
Ste A
Gainesville, GA 30501
Phone (770) 535-1284

Organizations & group practices 1

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1740217710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ACADEMY ST NW",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305018524",
            "telephone_number": "770-535-1284",
            "fax_number": "770-536-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ACADEMY ST NW",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305018524",
            "telephone_number": "770-535-1284",
            "fax_number": "770-536-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "JANICE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "1787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00593051B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.