MRS. ALICIA MARIE CONN FNP, PMHNP-BC
NPI 1538604368
Nurse Practitioner - Psychiatric/Mental Health in Blackshear, GA
About Mrs. Alicia Marie Conn Fnp, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ALICIA MARIE CONN FNP, PMHNP-BC (NPI 1538604368) is an individual psychiatric/mental health provider in Blackshear, Georgia, licensed in Georgia (000000) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Alicia Marie Conn Fnp, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Alicia Conn reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waycross, GA 31501
- Reassigned Medicare billing, Georgia enrollment
- 76 clinicians in this Medicare group
Brunswick, GA 31523
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Gateway Community Service Board
- 70 clinicians in this Medicare group
Hazlehurst, GA 31539
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Hospital Authority Of Jeff Davis County Georgia
- 29 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Georgia enrollment
- 110 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31516 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Alicia Conn's NPI number?
The NPI number for Alicia Conn is 1538604368. It was assigned to this individual provider in the NPPES registry on January 3, 2017. The provider is also known as Ms. Alicia Marie Thrift Fnp-C, Pmhnp-Bc.
Where is Alicia Conn located?
Alicia Conn practices at 6205 Fox Run Cir, Blackshear, GA 31516. The listed phone number is (912) 670-0808.
What is Alicia Conn's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Alicia Conn enrolled in Medicare?
Yes. Alicia Conn is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Alicia Conn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Conn reassigns Medicare benefits to 4 organizations: Mayo Clinic Health System In Waycross, Inc. (Waycross, GA), Gateway Behavioral Health Services (Brunswick, GA), Jeff Davis Urgent Care (Hazlehurst, GA) and Theoria Medical (Novi, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alicia Conn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Alicia Conn was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mrs. Alicia Marie Conn, FNP, PMHNP-BC · NPI 1538604368
Psychiatric/Mental Health physician in Blackshear, Georgia. Individual provider, active in the CMS NPPES registry since January 3, 2017.
## Identity
- **NPI:** 1538604368 (Entity type: Individual)
- **Enumerated:** January 3, 2017
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 000000 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6205 FOX RUN CIR, Blackshear, GA 31516-5322
- **Phone:** (912) 670-0808
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Mayo Clinic Health System In Waycross, Inc. (NPI 1154745982, Waycross, GA); Gateway Behavioral Health Services (NPI 1124254321, Brunswick, GA); Jeff Davis Urgent Care (NPI 1134535305, Hazlehurst, GA); Theoria Medical (NPI 1609362375, Novi, MI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 14, 2025
- **Other identifiers:** Medicaid 003254260A (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1538604368) · Data from the CMS NPPES public registry.