SOUTHSIDE PSYCHIATRIC ASSOCIATES, P.C. (NPI# 1821356528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821356528 |
| Entity Type | Organization |
| Organization Name | SOUTHSIDE PSYCHIATRIC ASSOCIATES, P.C. |
| Practice Address |
7444 Hannover Pkwy S Ste. 200 Stockbridge GA 30281-9303 |
| Practice Telephone | 7705068187 |
| Practice Fax Number | 7705067436 |
| Mailing Telephone | 7705068187 |
| Mailing Fax Number | 7705067436 |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |
| Authorized Official Name | CAROL ANN LYLE (SECRETARY) |
| Authorized Official Telephone | 7705068187 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
024707 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265588438 | Southside Psychiatric Associates, P.C. | Psychiatry & Neurology | 240 Corporate Center Dr, Suite D, Stockbridge, GA 30281-7214 | 2007-01-28 |
| Street Address |
7444 HANNOVER PKWY S STE. 200 |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-9303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811938277 | Stockbridge Dialysis Clinic, LLC | Clinic/Center | 7444 Hannover Pkwy S, Suite 270, Stockbridge, GA 30281-9303 | 2006-06-09 |
| 1396026373 | The Lighted Road Counseling Center Inc | Community/Behavioral Health | 7444 Hannover Pkwy S, Suite 200, Stockbridge, GA 30281-9303 | 2011-09-02 |
| 1245385053 | Tessa Valene Thompson | Nurse Practitioner | 7444 Hannover Pkwy S, Stockbridge, GA 30281-9303 | 2007-01-24 |
| 1609963115 | Georgia South Hand Therapy, Inc | Occupational Therapist | 7444 Hannover Pkwy S, Suite 250, Stockbridge, GA 30281-9303 | 2006-10-06 |
| 1477647410 | Anthony C Onyegbula | Internal Medicine | 7444 Hannover Pkwy S, Suite 150, Stockbridge, GA 30281-9303 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477014413 | Professional Behavioral Health and Associates, LLC | Psychiatry & Neurology | 245 Country Club Dr Bldg 300b, Stockbridge, GA 30281-7213 | 2019-03-30 |
| 1922125707 | Elizabeth Frances Weinberg | Psychiatry & Neurology | The Austen Riggs Center, 25 Main Street, Stockbridge, MA 01262-0962 | 2007-03-25 |
| 1316064223 | Aly Abbas Ahmed | Psychiatry & Neurology | 245 Country Club Dr, Suite 300b, Stockbridge, GA 30281-9080 | 2007-03-23 |
| 1477686855 | Andrew James Gerber | Psychiatry & Neurology | 35 Main St., Stockbridge, MA 01262-0962 | 2007-03-14 |
| 1770697666 | Anne Mary Carter | Psychiatry & Neurology | Austen Riggs Center, 25 Main Street, Stockbridge, MA 01262 | 2006-08-18 |
| 1710918933 | Priscilla Ngozi Chukwueke | Psychiatry & Neurology | 250 Corporate Center Ct, Stockbridge, GA 30281-6388 | 2006-07-05 |
| 1609843036 | Brij B Gulati | Psychiatry & Neurology | 130 Eagle Spring Ct, Ste#100a, Stockbridge, GA 30281-7274 | 2006-03-03 |
| 1932741576 | Darin Williams | Psychiatry & Neurology | 250 Corporate Center Ct, Stockbridge, GA 30281-6388 | 2019-10-15 |
| 1831620541 | David F. Flynn, Md, PC | Psychiatry & Neurology | 25 Main St., Stockbridge, MA 01262 | 2017-03-23 |
| 1801280391 | Berkshire Psychodynamic Psychiatry Inc | Psychiatry & Neurology | 25 Main Street, Stockbridge, MA 01262 | 2015-03-24 |
| Find all providers in STOCKBRIDGE | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
Please comment or provide details below to improve the information on SOUTHSIDE PSYCHIATRIC ASSOCIATES, P.C..
| 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.