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GA DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES NPI 1235454257


NPI Information

NPI: 1235454257
Provider Name: GA DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES

Doing Business As: GA REGIONAL HOSPITAL AT ATLANTA

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
3073 PANTHERSVILLE RD
DECATUR, GA
ZIP 30034
Phone: (404) 212-5454
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GA DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES is a psychiatric hospital in Decatur, GA. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. GA DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES NPI is 1235454257. The provider is registered as an organization entity type.
The provider Is Doing Business As Ga Regional Hospital At Atlanta.

The provider's business location address is:

3073 PANTHERSVILLE RD
DECATUR, GA
ZIP 30034-828
Phone: (404) 212-5454
Fax: (404) 243-2159

The provider's authorized official is Emile Risby .
The authorized official title is Clinical Director and has the following contact phone number (404) 243-2114.

The enumeration date for this NPI number is 4/1/2010 and was last updated on 4/19/2010.


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
1283Q00000XPsychiatric Hospital044-232GEORGIAYes

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
1000141061AMEDICAIDGEORGIA
2114019MEDICARE OSCAR/CERTIFICATIONGEORGIA

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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