Angela Tidwell Janicek, NURSE PRACTITIONER

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

31500 Issued in TN

Practice address

120 Two Mile Pike
Goodlettsville, TN 37072-1832

Phone

(615) 239-1404

Fax

(615) 900-2716

NPI assigned

Dec 8, 2021

Last updated

Jul 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Angela Marie Tidwell Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN, TX2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Perkins-Janicek Psychiatric Group, PLLCGroup PAC ID 9739623729, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angela.janicek@hca1.eclinicaldirectplus.com

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.

• Perkins-Janicek Psychiatric Group, PLLC

  dba Premier Psychiatric Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Goodlettsville, TN
  • NPI 1992575203
  Medicare reassignment Care Compare group NPD Authorized official
• Advanced Diagnostic Imaging, PC

  dba AdvancedHealth

  • Internal Medicine Physician
  • Goodlettsville, TN
  • NPI 1093741464

  Nurse Practitioner

  Medicare reassignment NPD
• Cumberland Behavioral Health, LLC

  dba Ascension Saint Thomas Behavioral Health Hospital

  • Psychiatric Hospital
  • Nashville, TN
  • NPI 1568006633
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Psychiatric/Mental Health, TN

  Medicare reassignment NPD
• River Region Psychiatry Associates LLC

  dba Ally Psychiatry

  • Psychiatry Physician
  • Montgomery, AL
  • NPI 1386891497

  TN

  Medicare reassignment NPD
• US Televero Health PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Austin, TX
  • NPI 1992318992

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Lotus Psychiatric Center, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hermitage, TN
  • NPI 1134819824
  NPD Authorized official
• Perkins-Janicek Wellness Group PLLC

  dba Premier Total Wellness

  • Obesity Medicine (Family Medicine) Physician
  • Goodlettsville, TN
  • NPI 1679493639
  Authorized official Same address or phone
• Advanced Diagnostic Imaging PC

  dba Ankle and Foot Centers of Nashville

  • Durable Medical Equipment & Medical Supplies
  • Lewisburg, TN
  • NPI 1922846559
  NPD
• Madison Behavioral Health, LLC

  dba Madison Behavioral Health

  • Psychiatry Physician
  • Madison, TN
  • NPI 1891741450
  NPD

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1740949668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 TWO MILE PIKE",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721832",
            "telephone_number": "615-239-1404",
            "fax_number": "615-900-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 TWO MILE PIKE",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721832",
            "telephone_number": "615-239-1404",
            "fax_number": "615-900-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANICEK",
        "first_name": "ANGELA",
        "middle_name": "TIDWELL",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "31500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angie@premierpsychtn.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "327 Caldwell Dr Ste 500",
            "city": "Goodlettsville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370723410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "TIDWELL",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mohammad Shah Jahan, M.D.
• James C. Loden, MD PC (Loden Vision Centers)
• James L. Bush DDS, PC
• Heather Brooke James, PHARMD
• William Kolton James, LPN
• Katherine Danielle Janiga, FNP-C
• Jared Baysinger, DMD, PLLC
• Jeffrey W Mathews DDS PLLC (Goodlettsville Family Dental)
• Brandon N Jenkins, D.C.
• La'Wanda Y. Jenkins, DNP, APN, PMHCNS-BC

• Psychiatric/Mental Health Nurse Practitioner in Goodlettsville, TN
• Providers in Goodlettsville, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.