Organization Active NPI

Gwinnett Holistic Psychiatry, LLC

  • Psychiatry Physician
  • Lilburn, GA
National Provider Identifier
1003752247
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
GWINNETT HOLISTIC PSYCHIATRY, LLC
Practice address
912 Killian Hill Rd SW Ste 202N
Lilburn, GA 30047-3110
Phone
(678) 400-4424
NPI assigned
Apr 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas Yun, MDNPI 1245231133
Title
Owner
Phone
(678) 400-4424

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

912 Killian Hill Rd SW Ste 202N
Lilburn, GA 30047-3110

Mailing address

4335 Bending River TRL SW
Lilburn, GA 30047-4554

National Provider Directory

National Provider Directory

Locations

912 Killian Hill Rd SW
Ste 202N
Lilburn, GA 30047
Phone (678) 400-4424

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1003752247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4335 BENDING RIVER TRL SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300474554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 KILLIAN HILL RD SW STE 202N",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473110",
            "telephone_number": "678-400-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT HOLISTIC PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "YUN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-400-4424",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.