Unknown Individual – Psychologist, NPI 1265582357
Psychologist
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
9350 CARILLON CT
JONESBORO, GA 302367411
Phone: (770) 603-7847
Fax: (770) 474-3738
Type: Mailing
275, Country Club Drive, Stockbridge, Henry County, Georgia, 30281, United States
STOCKBRIDGE, GA 302817349
Phone: (770) 474-8400
Fax: (770) 474-3738
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 151 | 17 | $0 |
Insurance plans in this area (ZIP 30236)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA |
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