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PSYCHIATRIC PROFESSIONALS OF GEORGIA LLC NPI 1396277968


NPI Information

NPI: 1396277968
Provider Name: PSYCHIATRIC PROFESSIONALS OF GEORGIA, LLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 11D2148697

Address:
1325 SATELLITE BLVD NW BLDG 400
SUWANEE, GA
ZIP 30024
Phone: (678) 263-3080
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PSYCHIATRIC PROFESSIONALS OF GEORGIA, LLC is a psychiatry psychiatry neurology in Suwanee, GA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. PSYCHIATRIC PROFESSIONALS OF GEORGIA, LLC NPI is 1396277968. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1325 SATELLITE BLVD NW BLDG 400
SUWANEE, GA
ZIP 30024-651
Phone: (678) 263-3080
Fax: (678) 496-9863

The provider's authorized official is Chasity Weiner .
The authorized official title is Regional Director Of Managed Care and has the following contact phone number (470) 805-2693.

The CLIA number assigned to this NPI record is 11D2148697 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/1/2017 and was last updated on 2/16/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084A0401XPsychiatry & NeurologyAddiction Medicine58297GEORGIANo
22084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry59016GEORGIANo
32084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry060325GEORGIANo
42084P0800XPsychiatry & NeurologyPsychiatry55563GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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