Janice Nixon, | |
5617 Princeton Ave, Columbus, GA 31904-3480 | |
(706) 257-7722 | |
(706) 257-7723 |
Full Name | Janice Nixon |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 5617 Princeton Ave, Columbus, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366691271 | NPI | - | NPPES |
1700244415 | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 003989 (Georgia) | Secondary |
101YP2500X | Counselor - Professional | LPC004000 (Georgia) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829 |
Mailing Address | Practice Location Address |
---|---|
Janice Nixon, 6315 N Tyler Ct, Columbus, GA 31909-4232 Ph: (912) 532-3889 | Janice Nixon, 5617 Princeton Ave, Columbus, GA 31904-3480 Ph: (706) 257-7722 |
Dana Barrineau, SST II Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Comer Ave., Columbus, GA 31904 Phone: 706-596-5764 Fax: 706-596-5770 | |
Walter Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1921 S Lumpkin Rd, Columbus, GA 31903 Phone: 706-750-0422 Fax: 706-609-5805 | |
Jennifer Stanley Timberlake, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2920 Macon Rd, Columbus, GA 31906 Phone: 706-507-3141 | |
Patricia Diane Thompson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2022 15th Ave, Columbus, GA 31901 Phone: 706-649-6500 Fax: 706-649-6521 | |
Mr. Michael V Williams Jr., MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3110 Clay St, Columbus, GA 31903 Phone: 706-992-5312 | |
Juana Lyles, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1220 2nd Ave Ste 107, Columbus, GA 31901 Phone: 334-614-8007 | |
Mary Lou Swift, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2022 15th Ave, Columbus, GA 31901 Phone: 706-649-6500 Fax: 706-649-6521 |