Active NPI
Atlanta Internal Medicine and Psychiatric Care
- Psychiatry Physician
- Atlanta, GA
National Provider Identifier
1003174624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- ATLANTA INTERNAL MEDICINE AND PSYCHIATRIC CARE
- Practice address
- 3915 Cascade Rd SW Ste 360
Atlanta, GA 30331-8533 - Phone
- (678) 973-2370
- Fax
- (470) 819-4995
- NPI assigned
- May 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory C Lunceford, M.D.
- Title
- Ceo
- Phone
- (770) 396-0232
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
3915 Cascade Rd SW Ste 360
Atlanta, GA 30331-8533
Mailing address
3915 Cascade Rd SW Ste 360
Atlanta, GA 30331-8533
Phone (770) 317-7300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003125640A | Medicaid | GA | |
| REF000549852 | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Atlanta, GA
- NPI 1851373047
-
- Psychiatric/Mental Health Nurse Practitioner
- Atlanta, GA
- NPI 1184325862
Multi-Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Port St Lucie, FL
- NPI 1639685266
GA, Multi-Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Richmond, VA
- NPI 1740929272
GA
-
- Psychiatric/Mental Health Nurse Practitioner
- Kennesaw, GA
- NPI 1639535503
-
- Professional Counselor
- Decatur, GA
- NPI 1083077556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725062400000",
"number": "1003174624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3915 CASCADE RD SW STE 360",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303318533",
"telephone_number": "770-317-7300",
"fax_number": "470-819-4995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 CASCADE RD SW STE 360",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303318533",
"telephone_number": "678-973-2370",
"fax_number": "470-819-4995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTA INTERNAL MEDICINE AND PSYCHIATRIC CARE",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-02",
"last_updated": "2024-08-31",
"certification_date": "2024-08-31",
"status": "A",
"authorized_official_last_name": "LUNCEFORD",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "770-396-0232",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003125640A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "REF000549852",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
- Atlanta Institute of Medicine and Rehabilitation
- Atlanta Institute of Rehab
- Atlanta Integrated Medical Health Center
- Atlanta Integrative Health Solutions LLC
- Atlanta Integrative Medical Center
- Atlanta Intervention Center, Inc
- Atlanta Intra-Op Monitoring LLC
- Atlanta Kidney Care LLC
- Atlanta Knee and Shoulder Clinic PC
- Atlanta Knee and Shoulder Clinic PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.