Mrs Alicia Marie Conn, FNP, PMHNP-BC - Medicare Nurse Practitioner in Blackshear, GA

  1. Home
  2. Nurse Practitioner
  3. GA
  4. Blackshear
Mrs Alicia Marie Conn, FNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Blackshear, Georgia. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Theoria Medical and her current practice location is 6205 Fox Run Cir, Blackshear, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 670-0808.

Mrs Alicia Marie Conn is licensed to practice in Georgia (license number 000000) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538604368.

Contact Information

Mrs Alicia Marie Conn, FNP, PMHNP-BC
6205 Fox Run Cir,
Blackshear, GA 31516-5322
(912) 670-0808
Not Available

Map and Direction




Provider's Profile

Full NameMrs Alicia Marie Conn
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location6205 Fox Run Cir, Blackshear, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Alicia Marie Conn graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1538604368
  • Provider Enumeration Date: 01/03/2017
  • Last Update Date: 04/14/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0648555730
  • Enrollment ID: I20170403001718

Medical Identifiers

Medical identifiers for Mrs Alicia Marie Conn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538604368NPI-NPPES
003254260AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN230326 (Georgia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 000000 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Theoria Medical5395098339414

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Alicia Marie Conn allows following entities to bill medicare on her behalf.
Entity NameMayo Clinic Health System In Waycross, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154745982
PECOS PAC ID: 0042124919
Enrollment ID: O20040308000639
Entity NameGateway Behavioral Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558478214
PECOS PAC ID: 3173510237
Enrollment ID: O20040429000700
Entity NameHospital Authority Of Jeff Davis County Georgia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912902263
PECOS PAC ID: 4981692472
Enrollment ID: O20040504000404
Entity NameEmpower Wellness, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386238723
PECOS PAC ID: 1658774807
Enrollment ID: O20210726001375
Entity NameTheoria Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20230105001168

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Alicia Marie Conn is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Alicia Marie Conn, FNP, PMHNP-BC
6205 Fox Run Cir,
Blackshear, GA 31516-5322

Ph: (912) 670-0808		Mrs Alicia Marie Conn, FNP, PMHNP-BC
6205 Fox Run Cir,
Blackshear, GA 31516-5322

Ph: (912) 670-0808

Reviews and Comments


Nurse Practitioner Nurses in Blackshear, GA

Courtney L Hayes, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3345 Us Highway 84 Ste 102, Blackshear, GA 31516
Phone: 912-208-3581    Fax: 912-807-1028
Kelli Beard, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3343 Us Highway 84 Ste 103, Blackshear, GA 31516
Phone: 912-807-9355    
Erin Hodges, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3345 Us Highway 84 Ste 102, Blackshear, GA 31516
Phone: 912-705-4910    Fax: 912-705-4911
Lauren Thornton, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 120 E Carter Ave, Blackshear, GA 31516
Phone: 912-449-4426    Fax: 912-449-1059
Mrs. Stephanie Lyne Chadwick, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3345 Us Highway 84 Ste 102, Blackshear, GA 31516
Phone: 912-228-1358    
Susan Deen, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3345 Us Highway 84 Ste 102, Blackshear, GA 31516
Phone: 912-208-3581    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.