Individual provider Active NPI

Georgia Leonie Barnes, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Beverly Hills, CA
National Provider Identifier
1740642719
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95001120 Issued in CA
Practice address
8484 Wilshire Blvd Ste 200
Beverly Hills, CA 90211-3235
Phone
(310) 360-7600
NPI assigned
Mar 28, 2016
Last updated
Jan 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95001120 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95001120 CA Primary

Addresses

Primary practice location

8484 Wilshire Blvd Ste 200
Beverly Hills, CA 90211-3235

Mailing address

8484 Wilshire Blvd Ste 200
Beverly Hills, CA 90211-3235
Phone (310) 360-7690

Other practice location 1

3701 Stocker St Ste 402
View Park, CA 90008-5123
Phone (231) 784-9956

Other practice location 2

1200 Wilshire Blvd Ste 300
Los Angeles, CA 90017-1931
Phone (213) 481-7464

Other practice location 3

4211 Avalon Blvd
Los Angeles, CA 90011-5622
Phone (323) 802-0277 ext. 1206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250519001334 CA Practitioner - Nurse Practitioner 8123546694 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95001120CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Premier Health Services Psychiatric/Mental Health CurrentSince Jan 1, 2025 Accepting new patients
Amanecer Community Counseling Service, a Non-Profit Corporation PastSince Dec 3, 2022 Accepting new patients
Amanecer Community Counseling Service, a Non-Profit Corporation Past Accepting new patients

Locations

8484 Wilshire Blvd
Ste 515
Beverly Hills, CA 90211
Phone (213) 631-0730

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, 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": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1740642719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8484 WILSHIRE BLVD STE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113235",
            "telephone_number": "310-360-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8484 WILSHIRE BLVD STE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113235",
            "telephone_number": "310-360-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 Stocker St Ste 402",
            "address_purpose": "LOCATION",
            "city": "View Park",
            "state": "CA",
            "postal_code": "900085123",
            "country_code": "US",
            "telephone_number": "231-784-9956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Wilshire Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900171931",
            "country_code": "US",
            "telephone_number": "213-481-7464",
            "fax_number": "213-481-7147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4211 Avalon Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900115622",
            "country_code": "US",
            "telephone_number": "323-802-0277 x1206",
            "fax_number": "323-432-5186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "GEORGIA",
        "middle_name": "LEONIE",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95001120",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95001120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.