PSYCHIATRIC PROFESSIONALS OF GEORGIA, LLC – Psychiatry Physician, NPI 1396277968
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PSYCHIATRIC PROFESSIONALS OF GEORGIA, LLC
1810 Peachtree Industrial Blvd Ste 204
Duluth, GA 300978179
Phone: (770) 622-2259
Fax: (773) 513-1093
Type: Location
227 Scenic Hwy Ste A
Lawrenceville, GA 300465649
Phone: (770) 513-7666
Fax: (773) 513-1093
Type: Location
1397 Manchester Dr NE
Conyers, GA 300123882
Phone: (770) 922-0255
Fax: (770) 922-3132
Type: Location
1325 Satellite Blvd NW Bldg 500
Suwanee, GA 300245665
Phone: (678) 263-3080
Fax: (678) 496-9863
Type: Location
286 S Main St Ste 100-200
Alpharetta, GA 300097914
Phone: (678) 748-3734
Fax: (833) 417-2101
Type: Location
110 Samaritan Dr Ste 101-102
Cumming, GA 300402535
Phone: (770) 882-0777
Fax: (833) 972-3209
Type: Location
105 Westpark Dr Ste B-2
Athens, GA 306063174
Phone: (678) 263-3080
Fax: (678) 496-9863
Type: Location
5885 Glenridge Dr Ste 130
Atlanta, GA 303285572
Phone: (678) 379-4748
Fax: (833) 428-5331
Type: Location
301 Green St NW Ste 100D
Gainesville, GA 305013361
Phone: (678) 263-3080
Fax: (678) 496-9863
Type: Location
833 Campbell Hill St NW Ste 111
Marietta, GA 300601135
Phone: (678) 921-9889
Type: Location
3500 Parkway Ln Ste 430
Norcross, GA 300922832
Phone: (678) 278-2001
Fax: (833) 471-4504
Type: Location
1201 Peachtree St NE Fl 3
Atlanta, GA 303613503
Phone: (470) 594-3132
Fax: (833) 764-5602
Type: Location
700 Center St Ste 202
Columbus, GA 319011573
Phone: (706) 327-5066
Fax: (706) 327-0081
Type: Location
11459 Johns Creek Pkwy Ste 170
Johns Creek, GA 300973516
Phone: (770) 742-6404
Type: Location
2550 Windy Hill Rd SE Ste 312
Marietta, GA 300678655
Phone: (770) 425-4737
Fax: (844) 689-3613
Type: Location
4416 Columbia Rd Ste 104
Martinez, GA 309074576
Phone: (706) 621-7700
Fax: (706) 621-7700
Type: Location
1975 Highway 54 W Ste 110
Peachtree City, GA 302694794
Phone: (678) 904-4224
Fax: (844) 689-5119
Type: Location
7302 Abercorn St Ste 2A
Savannah, GA 314062469
Phone: (912) 480-6336
Fax: (833) 450-5355
Type: Location
120 Stonebridge Pkwy Ste 410
Woodstock, GA 301893769
Phone: (770) 209-3766
Fax: (844) 749-3719
Type: Location
225 Reformation Pkwy Ste 200
Canton, GA 301142915
Phone: (470) 826-5552
Fax: (844) 749-1928
Type: Location
320 Lanier Ave W Ste 200
Fayetteville, GA 302147443
Phone: (470) 826-5006
Type: Location
315 W Ponce De Leon Ave Ste 515
Decatur, GA 300302412
Phone: (470) 805-2044
Fax: (833) 764-3948
Type: Location
1490 DISTRIBUTION DR
SUWANEE, GA 300242847
Phone:
Type: Mailing
1325 SATELLITE BLVD NW BLDG 400
SUWANEE, GA 300244651
Phone: (678) 263-3080
Fax: (678) 496-9863
Type: Mailing
4416 Columbia Rd Ste 100
Martinez, GA 309074576
Phone: (706) 621-7700
Fax: (833) 450-5138
Type: Location
780 Canton Rd NE Ste 205
Marietta, GA 300607242
Phone: (678) 263-3080
Type: Location
17 Executive Park Dr NE Ste 450
Atlanta, GA 303292220
Phone: (404) 470-4333
Fax: (833) 450-5818
Type: Location
1608 Tree Ln Ste A100
Snellville, GA 300782390
Phone: (678) 263-3080
Fax: (678) 496-9863
Type: Location
3825 Medical Park Dr Ste 102
Austell, GA 301066831
Phone: (678) 439-0003
Fax: (833) 450-6095
Type: Location
2470 Daniells Bridge
Bldg 100 Offices 200,220,224
Athens, GA 30606
Phone: (678) 263-3080
Fax: (678) 496-9863
Type: Location
5881 Glenridge Dr Ste 200
Atlanta, GA 303285569
Phone: (678) 379-4748
Fax: (833) 428-5331
Type: Location
1490 DISTRIBUTION DR STE 150
SUWANEE, GA 300242847
Phone: (678) 263-3080
Type: Location
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.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-07-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1046 days ago).
Enrollment records
1
Earliest due date
2023-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20170710001727 | O | Clinic/Group Practice | GA | 2023-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
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 30097)
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