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SOUTHSIDE PSYCHIATRIC ASSOCIATES P.C. NPI 1821356528


NPI Information

NPI: 1821356528
Provider Name: SOUTHSIDE PSYCHIATRIC ASSOCIATES, P.C.
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
7444 HANNOVER PKWY S
STE. 200
STOCKBRIDGE, GA
ZIP 30281
Phone: (770) 506-8187
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SOUTHSIDE PSYCHIATRIC ASSOCIATES, P.C. is a psychiatry psychiatry neurology in Stockbridge, 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. SOUTHSIDE PSYCHIATRIC ASSOCIATES, P.C. NPI is 1821356528. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7444 HANNOVER PKWY S
STE. 200
STOCKBRIDGE, GA
ZIP 30281-303
Phone: (770) 506-8187
Fax: (770) 506-7436

The provider's authorized official is Carol Ann Lyle .
The authorized official title is Secretary and has the following contact phone number (770) 506-8187.

The enumeration date for this NPI number is 5/1/2012 and was last updated on 5/1/2012.


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
12084P0800XPsychiatry & NeurologyPsychiatry024707GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11568573871MEDICARE PINGEORGIA

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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