Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Alicia Marie Conn, FNP, PMHNP-BC

Individual provider Family Nurse Practitioner · NPI 1538604368

Mrs. Alicia Marie Conn, FNP, PMHNP-BC is a Nurse Practitioner in Blackshear, Georgia. Qualified in 2016, 10 years ago. Practices with Theoria Medical, a 342-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2017
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

6205 Fox Run Cir
Blackshear, GA 31516-5322
Phone: (912) 670-0808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 000000 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN230326 (GA)

Record details

NPI number1538604368
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP , PMHNP-BC
Sole proprietorYes
NPI enumeratedJanuary 3, 2017
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Theoria Medical — 342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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