CONSUELO REDDICK M.D. NPI 1437214350

NPI Information

  • NPI: 1437214350
  • Provider Name: CONSUELO REDDICK, M.D.
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 300 COLONIAL CENTER PKWY STE 100
    ROSWELL, GA
    ZIP 30076
  • Phone: (470) 670-6319

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NPI Details

Consuelo Reddick, M.D. is a child and adolescent psychiatry psychiatry neurology in Roswell, GA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Consuelo Reddick, M.D. NPI is 1437214350. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 COLONIAL CENTER PKWY STE 100
ROSWELL, GA
ZIP 30076-892
Phone: (470) 670-6319
Fax: (888) 815-3583

The NPI 1437214350 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth (HCPCS:G0426)

The enumeration date for this NPI number is 12/22/2006 and was last updated on 10/19/2025.

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
12084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry044067GEORGIAYes
22084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry89249MONTANANo
32084P0800XPsychiatry & NeurologyPsychiatryG133049CALIFORNIANo
42084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry61047950WASHINGTONNo
52084P0800XPsychiatry & NeurologyPsychiatry89249MONTANANo
62084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryMD199050OREGONNo
72084P0800XPsychiatry & NeurologyPsychiatry61047950WASHINGTONNo
82084P0800XPsychiatry & NeurologyPsychiatry044067GEORGIANo
92084P0800XPsychiatry & NeurologyPsychiatryMD199050OREGONNo
102084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryG133049CALIFORNIANo

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
100024706MEDICAIDGEORGIA

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: 11/21/2025

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