Individual provider Active NPI

Frank G Pratt Jr., M.D.

  • Psychiatry Physician
  • Rome, GA
National Provider Identifier
1760564173
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
18538 Issued in GA
Practice address
1013 N 5TH Ave NE
Ste 4
Rome, GA 30165-2664
Phone
(706) 234-0034
Fax
(706) 234-0033
NPI assigned
Oct 19, 2006
Last updated
Aug 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 18538 GA Primary

Addresses

Primary practice location

1013 N 5TH Ave NE
Ste 4
Rome, GA 30165-2664

Mailing address

1013 N 5TH Ave NE Ste 4
Rome, GA 30165-2664
Phone (706) 234-0034

Other identifiers 1

IdentifierTypeStateIssuer
000227488CMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040806000500 GA Practitioner - Psychiatry 8628040185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical College of Georgia School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1013 N 5TH Ave NE
Suite 4
Rome, GA 30165-2664
Phone (706) 234-0034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18538GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gordon Behavioral Sciences P.C. Psychiatry CurrentSince Jun 7, 1999 Accepting new patients

Locations

1013 N 5th Ave NE
Ste 4
Rome, GA 30165
Phone (706) 232-6767

109 John Maddox Dr NW
Rome, GA 30165
Phone (706) 232-6743

109 John Maddox Dr NW
Ste 220
Rome, GA 30165
Phone (706) 234-0034

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1760564173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 N 5TH AVE NE STE 4",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652664",
            "telephone_number": "706-234-0034",
            "fax_number": "706-234-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 N 5TH AVE NE",
            "address_2": "STE 4",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652664",
            "telephone_number": "706-234-0034",
            "fax_number": "706-234-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "FRANK",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "18538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000227488C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.