CMS NPPES uses NUCC taxonomy code 364SP0808X for provider records classified as Psychiatric/Mental Health within Clinical Nurse Specialist. The taxonomy identifies the category reported on the NPI record; it does not by itself verify...
GA license #RN079843 CNS/PMHtaxonomy 364SP0808X
Identifiers
Type
Value
Notes
05 (GA)
609588713A
Medicare directory context
Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare,
retrieved 2026-10-12. They apply only to this clinician's public Medicare listing.
Medicare specialties
Certified Clinical Nurse Specialist (cns)
Telehealth
Listed by CMS
Confirm current availability with the practice
Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered.
View the CMS dataset →
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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