Mrs Evelyn Booker, RN - Medicare Nurse Practitioner in Griffin, GA

Mrs Evelyn Booker, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Griffin, Georgia. Her current practice location is 1705 Williamson Rd Ste 101, Griffin, Georgia. You can reach out to her office (for appointments etc.) via phone at (757) 706-1776.

Mrs Evelyn Booker is licensed to practice in Georgia (license number RN167813) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093166464.

Contact Information

Mrs Evelyn Booker, RN
1705 Williamson Rd Ste 101,
Griffin, GA 30224-5471
(757) 706-1776
(404) 478-8864

Map and Direction




Provider's Profile

Full NameMrs Evelyn Booker
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1705 Williamson Rd Ste 101, Griffin, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093166464
  • Provider Enumeration Date: 06/28/2016
  • Last Update Date: 08/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0840664983
  • Enrollment ID: I20230313001932

Medical Identifiers

Medical identifiers for Mrs Evelyn Booker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093166464NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health RN167813 (Georgia)Primary

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 Evelyn Booker allows following entities to bill medicare on her behalf.
Entity NameThrive Counseling Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215181300
PECOS PAC ID: 0749458420
Enrollment ID: O20120504000149
Entity NameChronic Disease Management Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699300939
PECOS PAC ID: 7618306721
Enrollment ID: O20200409003695

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 Evelyn Booker 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 Evelyn Booker, RN
1705 Williamson Rd Ste 101,
Griffin, GA 30224-5471

Ph: (757) 706-1776
Mrs Evelyn Booker, RN
1705 Williamson Rd Ste 101,
Griffin, GA 30224-5471

Ph: (757) 706-1776

Reviews and Comments


Nurse Practitioner Nurses in Griffin, GA

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Practice Location: 625 Carver Rd, Griffin, GA 30224
Phone: 770-227-9222    Fax: 678-688-3891

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.