Individual provider Active NPI

Josephine U Driz, PHMNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Warner Robins, GA
National Provider Identifier
1962234971
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN275212 Issued in GA
Practice address
103 Colum CT
Warner Robins, GA 31088-2409
Phone
(478) 305-3198
NPI assigned
Aug 19, 2024
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 275212 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN275212 GA Primary

Addresses

Primary practice location

103 Colum CT
Warner Robins, GA 31088-2409

Mailing address

103 Colum CT
Warner Robins, GA 31088-2409
Phone (478) 305-3198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 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

Enrollment IDStateProvider typePAC IDDetails
I20250502001163 GA Practitioner - Nurse Practitioner 1850817800 Reassigns benefits to 1 organization
I20250507001416 GA Practitioner - Nurse Practitioner 1850817800 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
275212GAMDPsychiatric/Mental Health Nurse Practitioner
RN275212GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Synaptic Cove Mental Health Psychiatric/Mental Health CurrentSince Mar 2, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince Oct 1, 2025 Accepting new patients

Locations

3424 Peachtree Rd NE
Ste 2200
Atlanta, GA 30326
Phone (404) 436-2563

Organizations & group practices 3

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": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1962234971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 COLUM CT",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310882409",
            "telephone_number": "478-305-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 COLUM CT",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310882409",
            "telephone_number": "478-305-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIZ",
        "first_name": "JOSEPHINE",
        "middle_name": "U",
        "credential": "PHMNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "275212",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN275212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.