Growth Mindset Wellness PC
NPI 1699408005ActiveOrganization· Nurse Practitioner· Stockbridge, GA
Nurse Practitioner in Stockbridge, Georgia, registered in NPPES in July 2022. The authorized official on file is Tiffany Bates, APRN, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1699408005 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 4, 2022 |
| Last updated in NPPES | Feb 2, 2024 |
| Certified by provider | Feb 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Clinic/Center, Adult Mental Health | 261QM0850X | — | — |
| Clinic/Center, Adolescent and Children Mental Health | 261QM0855X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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