Active NPI
Joanne Patrice Parks, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1780198820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN231761
- Practice address
- 3110 Henderson Walk
Atlanta, GA 30340-4329 - Phone
- (770) 828-9340
- NPI assigned
- Nov 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN231761 | GA | Primary |
Addresses
Primary practice location
3110 Henderson Walk
Atlanta, GA 30340-4329
Mailing address
3110 Henderson Walk
Atlanta, GA 30340-4329
Phone (770) 828-9340
Other practice location 1
2900 Chamblee Tucker Rd Bldg 16
Atlanta, GA 30341-4148
Phone (770) 939-1288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN231761 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish Atl, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Theoria Medical | Past | Accepting new patients | |
| Veritas Collaborative Atlanta, LLC Dba the Emily Program | Past | Accepting new patients | |
| Veritas Collaborative Georgia, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Snellville, GA
- NPI 1396606224
-
- Multi-Specialty Clinic/Center
- Dunwoody, GA
- NPI 1609386614
-
- Psychiatric Hospital
- Dunwoody, GA
- NPI 1487197026
-
- Internal Medicine Physician
- Novi, MI
- NPI 1609362375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1780198820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3110 HENDERSON WALK",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303404329",
"telephone_number": "770-828-9340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3110 HENDERSON WALK",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303404329",
"telephone_number": "770-828-9340"
}
],
"practiceLocations": [
{
"address_1": "2900 Chamblee Tucker Rd Bldg 16",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303414148",
"country_code": "US",
"telephone_number": "770-939-1288",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKS",
"first_name": "JOANNE",
"middle_name": "PATRICE",
"name_prefix": "Mrs.",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-28",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "RN231761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.