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GEORGIA PSYCHIATRIC CONSULTANTS LLC NPI 1174847834


NPI Information

NPI: 1174847834
Provider Name: GEORGIA PSYCHIATRIC CONSULTANTS LLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 11D2121378

Address:
652 BELLEMEADE AVE NW
ATLANTA, GA
ZIP 30318
Phone: (678) 705-8166
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GEORGIA PSYCHIATRIC CONSULTANTS LLC is a psychiatry psychiatry neurology in Atlanta, 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. GEORGIA PSYCHIATRIC CONSULTANTS LLC NPI is 1174847834. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

652 BELLEMEADE AVE NW
ATLANTA, GA
ZIP 30318-102
Phone: (678) 705-8166
Fax: (678) 705-8569

The provider's authorized official is David Charles Purselle .
The authorized official title is Managing Member and has the following contact phone number (678) 705-8166.

The CLIA number assigned to this NPI record is 11D2121378 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2010 and was last updated on 3/5/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatry044312GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003105773AMEDICAIDGEORGIA

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: 4/28/2024

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