PROMEDICA PSYCHIATRY GROUP – Mental Health Counselor, NPI 1922036508

PROMEDICA PSYCHIATRY GROUP is a healthcare provider. based in Loganville, Georgia. specializing in Mental Health Counselor. The organization holds a License No. 029689 (GA). The NPI Number for PROMEDICA PSYCHIATRY GROUP is 1922036508

Main info

Organization
Name
PROMEDICA PSYCHIATRY GROUP
NPI
1922036508
Phone
(770) 554-8812
Address
2430 TUCKER DR
Authorized Official
MS. KIMBERLY H. LITTRELL PRESIDENT & CEO MS, APRN, BC
Enumeration Date
30 June 2006
Last Update Date
28 April 2008
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

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Provider Addresses for PROMEDICA PSYCHIATRY GROUP

  • Tucker Lane, Loganville, Walton County, Georgia, 30052, United States

    BLDG A

    LOGANVILLE, GA 300524390

    Phone: (770) 554-8812

    Fax: (770) 554-9810

    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

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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 30052)

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Frequently asked questions

What is PROMEDICA PSYCHIATRY GROUP's NPI number?
PROMEDICA PSYCHIATRY GROUP's NPI is 1922036508 — the number used across U.S. healthcare to identify this provider.
Would PROMEDICA PSYCHIATRY GROUP appear as active to a payer?
You can treat PROMEDICA PSYCHIATRY GROUP as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is PROMEDICA PSYCHIATRY GROUP?
PROMEDICA PSYCHIATRY GROUP is associated with Mental Health Counselor in the directory — Clinical services aligned with this taxonomy classification.
Is PROMEDICA PSYCHIATRY GROUP located near Loganville?
PROMEDICA PSYCHIATRY GROUP currently maps to Loganville, Georgia in this extract.
Does PROMEDICA PSYCHIATRY GROUP accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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