IRETA FAVORS PMHNP
NPI 1003488958
Nurse Practitioner - Psychiatric/Mental Health in Athens, GA

Q: What is Ireta Favors's NPI number?

The NPI number for Ireta Favors is 1003488958. It was assigned to this individual provider in the NPPES registry on July 12, 2021.

Q: What is Ireta Favors's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Ireta Favors was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 12, 2021PECOS Enrolled

250 BRAY ST, ATHENS, GA 30601(678) 215-4907(678) 671-8489 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 25, 2023, May 9, 2023, Jul 12, 2021 (3 updates tracked since 2021).

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About Ireta Favors Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IRETA FAVORS PMHNP (NPI 1003488958) is an individual psychiatric/mental health provider in Athens, Georgia, licensed in Georgia (RN296873) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003488958

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameIRETA FAVORSCredential: PMHNP

Location Address250 BRAY STAthens, GA 30601-2203

Mailing Address1575 Lawrenceville Hwy Ste KLawrenceville, GA 30044-2007 · (678) 215-4907 · Fax (678) 671-8489

Phone(678) 215-4907

Fax(678) 671-8489

Sole ProprietorYes

Enumeration DateJuly 12, 2021

Last NPPES UpdateFebruary 20, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2024

✔ NPI 1003488958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in GA · RN296873

250 BRAY ST, Athens, GA 30601

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ireta Favors Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. DEBRA YVONNE HART LPN

Licensed Practical Nurse

250 BRAY ST
ATHENS, GA 30601

Clarke County (706) 389-6789

MS. BONNIE G ROCKER

Social Worker (Clinical)

250 BRAY ST
ATHENS, GA 30601

Clarke County (706) 389-6789

LANINA COBB-THOMPSON LAPC

Counselor (Professional)

250 BRAY ST
ATHENS, GA 30601

Clarke County (706) 389-6789

YATEMIESE SMART

Licensed Practical Nurse

250 BRAY ST
ATHENS, GA 30601

Clarke County (706) 389-6789

HANNAH FULLER

Registered Nurse

250 BRAY ST
ATHENS, GA 30601

Clarke County (855) 333-9544

JOSHUA HAMILTON RN

Registered Nurse (Psychiatric/Mental Health)

250 BRAY ST
ATHENS, GA 30601

Clarke County (706) 389-6789

JACQUELINE POTTIER RN

Registered Nurse

250 BRAY ST
ATHENS, GA 30601

Clarke County (706) 389-6789

DR. MICHAEL THOMAS MUSGROVE MSW, PH.D.

Social Worker

250 BRAY ST
ATHENS, GA 30601

Clarke County (706) 389-6789

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ireta Favors's NPI number?

The NPI number for Ireta Favors is 1003488958. It was assigned to this individual provider in the NPPES registry on July 12, 2021.

Where is Ireta Favors located?

Ireta Favors practices at 250 Bray St, Athens, GA 30601. The listed phone number is (678) 215-4907.

What is Ireta Favors's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ireta Favors enrolled in Medicare?

Yes. Ireta Favors is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ireta Favors was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.