GENED PSYCH ASSOCIATES LLC NPI 1669154910

NPI Information

  • NPI: 1669154910
  • Provider Name: GENED PSYCH ASSOCIATES, LLC
  • Classification: Psychologist - 103TM1800X
  • Specialization: Intellectual and Developmental Disabilities
  • Entity Type: Organization
  • Address: 296 CARRIAGE OAKS DR
    TYRONE, GA
    ZIP 30290
  • Phone: (404) 807-4697

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NPI Details

GENED PSYCH ASSOCIATES, LLC is an intellectual and developmental disabilities in Tyrone, GA. GENED PSYCH ASSOCIATES, LLC NPI is 1669154910. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

296 CARRIAGE OAKS DR
TYRONE, GA
ZIP 30290-521
Phone: (404) 807-4697

The provider's authorized official is Percy Jenkins .
The authorized official title is Chief Executive Officer and has the following contact phone number (404) 807-4697.

The enumeration date for this NPI number is 8/7/2023 and was last updated on 8/7/2023.

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
1101YP2500XCounselorProfessionalNo
2103TS0200XPsychologistSchoolNo
3103TM1800XPsychologistIntellectual and Developmental DisabilitiesYes

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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