ATLANTA METRO PSYCHIATRIC ASSOCIATES (NPI# 1649440140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649440140 |
| Entity Type | Organization |
| Organization Name | ATLANTA METRO PSYCHIATRIC ASSOCIATES |
| Practice Address |
4641 Stonegate Industrial Blvd Stone Mountain GA 30083-1908 |
| Practice Telephone | 4043775556 |
| Practice Fax Number | 4042929903 |
| Mailing Telephone | 4043775556 |
| Mailing Fax Number | 4043778245 |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2011-05-12 |
| Authorized Official Name | DR. DENNIS ARTHUR O'BRIEN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4043775556 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
028593 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000483348A | 05 |
| Street Address |
4641 STONEGATE INDUSTRIAL BLVD |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30083-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427199199 | Integrated Life Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4641 Stonegate Industrial Blvd, Stone Mountain, GA 30083-1908 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558830919 | Patriot Healthcare of Georgia, LLC | Family Medicine | 833 Hairston Road, Stone Mountain, GA 30083 | 2018-11-15 |
| 1710403431 | Trans Med Ems,llc | Ambulance | 4683 Redan Rd, Stone Mountain, GA 30083 | 2017-08-15 |
| 1447770482 | Dispatched Angels Home Care | In Home Supportive Care | 619 El Prado Court, Stone Mountain, GA 30083 | 2017-06-21 |
| 1396191086 | Suzanne Carter | Chore Provider | 1036 Allgood Rd, Stone Mountain, GA 30083 | 2016-05-11 |
| 1437520087 | Meaza Dada | Pharmacist | 1043 Thornwoode Lane, Stone Mountain, GA 30083 | 2015-10-08 |
| 1427436500 | Raeanne Elizabeth Gialanella | Occupational Therapist | 5839 Memorial Drive, Stone Mountain, GA 30083 | 2015-05-11 |
| 1265829824 | Latore Williams | Licensed Practical Nurse | 5300 Ridge Forest Drive, Stone Mountain, GA 30083 | 2015-04-22 |
| 1144625922 | Granville Theodore Freeman IIi | Counselor | 5000 Brittany Drive, Stone Mountain, GA 30083 | 2014-10-23 |
| 1588974208 | Terri R Collins | Counselor | 1020 Strap Hinge Trail, Stone Mountain, GA 30083 | 2010-10-15 |
| 1104064815 | Vistas Medical Center,pc | Clinic/Center | 5329 Memorial Dr Ste A, Stone Mountain, GEORGIA 30083 | 2009-02-03 |
| Find all providers in zip 30083 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821393380 | Tifton Addiction Associates, LLC. D/b/a Tlc Clinic | Psychiatry & Neurology | 2402 North Tift Ave Suite 202, Tifton, GA 31794 | 2011-01-14 |
| 1578754503 | Omobolaji Oluseyi Oyebanjo Popoola | Psychiatry & Neurology | 307 Old Stone Rd, Villa Rica, GA 30180-1214 | 2007-08-06 |
| 1760517254 | Todd Estroff | Psychiatry & Neurology | 627 Old Ivy Rd Ne, Atlanta, GA 30342-4319 | 2007-02-23 |
| 1861534802 | Joseph Francis Griffin IIi | Psychiatry & Neurology | 1677 East Clifton Rd, Atlanta, GA 30307-1289 | 2007-02-13 |
| 1346253309 | John L Moseri | Psychiatry & Neurology | 4540 Glenwood Rd, Decatur, GA 30032-5166 | 2006-08-14 |
| 1710997069 | Ayman Mohsen Fareed | Psychiatry & Neurology | 330 Mount Sinai Dr, Dahlonega, GA 30533-2367 | 2006-08-09 |
| 1639112584 | Susan Kaye Blank | Psychiatry & Neurology | 1846 Old Norcross Rd, Suite 100, Lawrenceville, GA 30044-8801 | 2006-06-14 |
| 1194716282 | Ramachandra R Paidi | Psychiatry & Neurology | 106 Queen St, Suite 1a, Vidalia, GA 30474-4210 | 2005-10-29 |
| 1396389185 | Keystone Psychiatric Care LLC | Psychiatry & Neurology | 11030 Jones Bridge Rd Ste 301, Johns Creek, GA 30022-4560 | 2019-11-05 |
| 1841672789 | Joseph Emmanuel Mathias | Psychiatry & Neurology | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2015-06-28 |
| Find all providers with the same taxonomy | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30083 |
Please comment or provide details below to improve the information on ATLANTA METRO PSYCHIATRIC ASSOCIATES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.