Active NPI
Angeanette McCall Nixon, LPC
- Professional Counselor
- Tifton, GA
National Provider Identifier
1902163660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 006795
- Practice address
- 223 2ND St E
Suite B
Tifton, GA 31794-4493 - Phone
- (229) 339-3721
- Fax
- (229) 472-9151
- NPI assigned
- Apr 19, 2012
- Last updated
- Dec 1, 2015
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 006795 | GA | Primary |
Addresses
Primary practice location
223 2ND St E
Suite B
Tifton, GA 31794-4493
Mailing address
PO Box 1613
Tifton, GA 31793-1613
Phone (229) 339-3721
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006795 | Other | GA | 006795 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Professional | Current | Accepting new patients |
| Tiftarea Psychiatric and Counseling Services, LLC | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964
223 2nd St E
Ste B
Tifton, GA 31794
Phone (229) 339-3721
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Tifton, GA
- NPI 1669847760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448928000000",
"number": "1902163660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1613",
"city": "TIFTON",
"state": "GA",
"postal_code": "317931613",
"telephone_number": "229-339-3721",
"fax_number": "229-472-9151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 2ND ST E",
"address_2": "SUITE B",
"city": "TIFTON",
"state": "GA",
"postal_code": "317944493",
"telephone_number": "229-339-3721",
"fax_number": "229-472-9151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIXON",
"first_name": "ANGEANETTE",
"middle_name": "MCCALL",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-19",
"last_updated": "2015-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "006795",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "006795",
"identifier": "006795",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tifton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.