Professional Corporation – Psychiatry Physician, NPI 1255410049

Professional Corporation is a healthcare provider. based in Conyers, Georgia. specializing in Psychiatry Physician. The organization holds a License No. 037581 (GA). The NPI Number for Professional Corporation is 1255410049

Main info

Organization
Name
Professional Corporation
NPI
1255410049
Phone
(770) 761-8800
Address
2215 EXCHANGE PLACE
Authorized Official
CECELIA PATRICE KANE PRESIDENT OF CORPORATION MD
Enumeration Date
3 November 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Professional Corporation

  • 2215 EXCHANGE PLACE

    SUITE B

    CONYERS, GA 300136723

    Phone: (770) 761-8800

    Fax: (770) 761-8435

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30013)

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Reviews

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Frequently asked questions

How is Professional Corporation identified in CMS data?
CMS-hosted NPPES data lists Professional Corporation with NPI 1255410049.
Does CMS list Professional Corporation as active?
Yes — Professional Corporation is active in the NPI listing used on this page.
What is Professional Corporation's primary classification?
Psychiatry Physician is the headline specialty for Professional Corporation here. Clinical services aligned with this taxonomy classification.
Where should I expect Professional Corporation on a map?
Expect Conyers, Georgia as a primary anchor for Professional Corporation unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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