SOUTHERN PSYCHIATRIC T.M.S., LLC (NPI# 1841859907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841859907 |
Entity Type | Organization |
Organization Name | SOUTHERN PSYCHIATRIC T.M.S., LLC |
Practice Address |
48 Main St Ste 2e Senoia GA 30276-1895 |
Practice Telephone | 7709049785 |
Mailing Telephone | 7709049785 |
Enumeration Date | 2019-06-11 |
Last Update Date | 2019-06-11 |
Authorized Official Name | DR. SHANE WILLIAM SAVAGE (OWNER/PSYCHIATRIST) |
Authorized Official Telephone | 7709049785 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
Street Address |
48 MAIN ST STE 2E |
City | SENOIA |
State | GA |
Zip Code | 30276-1895 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962976563 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 10 Village West Dr. Ste A, Senoia, GA 30276 | 2019-01-16 |
1518406842 | Corey Ann Tolbert | Dietitian, Registered | 20 Charleston Dr, Senoia, GA 30276 | 2017-02-20 |
1639509920 | Priscilla Jane Thompson | Chore Provider | 229 Deep South Rd, Senoia, GA 30276 | 2013-11-22 |
1821331711 | Dana R. Chaffin | Family Medicine | 7285 Highway 16, Suite C, Senoia, GA 30276 | 2013-03-29 |
1396747077 | Christina R. Macaluso | Family Medicine | 42 Main Street, Suite 2a, Senoia, GA 30276 | 2005-08-12 |
1902236284 | Compassionate Hands Personal Care | Nursing Care | 229 Deep South Rd, Senoia, GA 30276 | 2013-11-22 |
1871640920 | Fred Richard Reynolds | Counselor | 252 Seavy Street, Senoia, GA 30276-0147 | 2007-01-04 |
1710270996 | Gregory C. Offor | Pharmacist | 120 Renwick Dr, Senoia, GA 30276-1361 | 2011-05-23 |
1013445162 | Emily Greene Schubert | Behavioral Analyst | 298 Seavy St, Senoia, GA 30276-1806 | 2017-06-01 |
1972830263 | Paraclete Christian Counseling and Educational Services | Community/Behavioral Health | 252 Seavy St, Senoia, GA 30276-1806 | 2009-11-09 |
Find all providers in zip 30276 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
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1992331581 | World Spine and Orthopedics LLC | Clinic/Center | 4296 Memorial Dr Ste C, Decatur, GA 30032-1227 | 2020-03-16 |
1619517968 | Carroll Total Healthcare,pc | Clinic/Center | 410 Peachtree Pkwy Ste 4226, Cumming, GA 30041-7439 | 2020-01-14 |
1528601200 | Blued Consultant Solutions, LLC | Clinic/Center | 256 Rainbow Ln, Mcdonough, GA 30252-4839 | 2019-10-24 |
1578113585 | Centro Prenatal De Gwinnett LLC | Clinic/Center | 575 W Pike St Ste 1, Lawrenceville, GA 30046-7685 | 2019-09-12 |
1316508815 | Atlanta Health Clinic LLC | Clinic/Center | 2480 Windy Hill Rd Se Ste 404, Marietta, GA 30067-8658 | 2019-06-25 |
1659880847 | Jones Medical and Educational Consultants | Clinic/Center | 8954 Hospital Dr Bldg C, Douglasville, GA 30134-2200 | 2017-09-20 |
1477005593 | Hirenirali LLC | Clinic/Center | 12390 Beragio Pl, Alpharetta, GA 30004-4188 | 2016-10-25 |
1851840961 | Tele Doctor Direct Inc | Clinic/Center | 1250 Powers Ferry Cmn Se, Suite 100, Marietta, GA 30067-6046 | 2016-09-30 |
1154870533 | Life Point Medical, LLC | Clinic/Center | 189 Bo James Street, Suite 105, Clayton, GA 30525 | 2016-09-27 |
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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.