BEHAVIORAL HEALTH PROFESSIONALS OF LAGRANGE, LLC – Psychiatry Physician, NPI 1861016537
Psychiatry Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BEHAVIORAL HEALTH PROFESSIONALS OF LAGRANGE, LLC
321B GREENVILLE ST
LAGRANGE, GA 302413231
Phone: (706) 616-1715
Fax: (706) 637-2320
Type: Mailing
402 Adamson Sq Ste 14
Carrollton, GA 301173252
Phone: (706) 881-6698
Fax: (706) 637-2320
Type: Location
145 MAPLE TRCE
PINE MOUNTAIN, GA 318222826
Phone: (423) 773-4812
Type: Mailing
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-05-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-05-31 (10 days ago).
Enrollment records
1
Earliest due date
2026-05-31
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 |
|---|---|---|---|---|
| O20210518002170 | O | Clinic/Group Practice | GA | 2026-05-31 |
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 30241)
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