Individual provider Active NPI

Jeffrey Lee Winston, MD

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1003938598
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
28337 Issued in GA
Practice address
4546 Barclay Dr Ste B
Atlanta, GA 30338
Phone
(770) 457-7994
Fax
(770) 458-8656
NPI assigned
Apr 4, 2007
Last updated
Jul 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 28337 GA Primary

Addresses

Primary practice location

4546 Barclay Dr Ste B
Atlanta, GA 30338

Mailing address

4546 Barclay Dr Ste B
Atlanta, GA 30338-7146
Phone (770) 457-7994

Other identifiers 1

IdentifierTypeStateIssuer
000642705BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100407000195 GA Practitioner - Psychiatry 2264568898 Reassigns benefits to 1 organization
Practice locations: Atlanta, GA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Wisconsin School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgia Bio Behavioral AssociatesGroup PAC ID 4789062159, 4 clinicians

Practice addresses (Care Compare)

4546 Barclay Dr
Suite B
Atlanta, GA 30338-7146
Phone (770) 457-7994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28337GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Bio Behavioral Associates Psychiatry CurrentSince May 18, 2022 Accepting new patients
Jeffrey L. Winston, M.D. Psychiatry PastSince Oct 19, 1998 Accepting new patients

Locations

4546 Barclay Dr
Ste B
Dunwoody, GA 30338
Phone (770) 457-7994

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1003938598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4546 BARCLAY DR STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303387146",
            "telephone_number": "770-457-7994",
            "fax_number": "770-458-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 BARCLAY DR STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30338",
            "telephone_number": "770-457-7994",
            "fax_number": "770-458-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSTON",
        "first_name": "JEFFREY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "28337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000642705B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.