CYNTHIA ANN FOUNTAIN PMHNP-BC
NPI 1083597876
Nurse Practitioner - Psychiatric/Mental Health in Evans, GA

Active since July 29, 2025
909 ROLLO DOMINO CIR, EVANS, GA 30809(706) 814-0705 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cynthia Ann Fountain Pmhnp-bc NPPES

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

CYNTHIA ANN FOUNTAIN PMHNP-BC (NPI 1083597876) is an individual psychiatric/mental health provider in Evans, Georgia, licensed in Georgia (RN174712) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1083597876
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCYNTHIA ANN FOUNTAINCredential: PMHNP-BC
Location Address909 ROLLO DOMINO CIREvans, GA 30809-3485
Mailing Address909 Rollo Domino CirEvans, GA 30809-3485 · (706) 750-8617
Sole ProprietorNo
Enumeration DateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
NPI 1083597876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in GA · RN174712
Also ListedRegistered NurseTaxonomy 163W00000X · License RN174712 (GA)
Also ListedHealth and Wellness CoachTaxonomy 171400000X
909 ROLLO DOMINO CIR, Evans, GA 30809

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 Cynthia Fountain's NPI number?

The NPI number for Cynthia Fountain is 1083597876. It was assigned to this individual provider in the NPPES registry on July 29, 2025.

Where is Cynthia Fountain located?

Cynthia Fountain practices at 909 Rollo Domino Cir, Evans, GA 30809. The listed phone number is (706) 814-0705.

What is Cynthia Fountain's specialty?

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

When was this NPI record last updated?

The NPPES record for Cynthia Fountain was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.