Solid Ground Behavioral Health PC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

SOLID GROUND BEHAVIORAL HEALTH PC

Practice address

24 Chechero St Ste 2
Clayton, GA 30525-6181

Phone

(706) 963-0654

NPI assigned

Jan 23, 2025

Organization subpart

No

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

Authorized official

Name

Mary Keller, PMHNP-BCNPI 1427782861

Title

Nurse Practitioner

Phone

(706) 963-0654

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Mary Keller, PMHNP-BC, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Clayton, GA
  • NPI 1427782861
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1033921390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12244 AUGUSTA RD UNIT 108",
            "city": "LAVONIA",
            "state": "GA",
            "postal_code": "305531210",
            "telephone_number": "706-983-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CHECHERO ST STE 2",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305256181",
            "telephone_number": "706-963-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLID GROUND BEHAVIORAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "706-963-0654",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Leigh Singer, NP
• Kathy Sloan, RN
• Amanda Dawn Smith
• Patricia H Smith, NP-C
• Linda A Soeker, PCPNP
• Southeast Medical, Inc.
• Stephens County Hospital Physician Group, LLC
• Sandy Michelle Stinnett, FNP-BC
• Kristen Prather Stovall, MD
• Claudia Reyd Strickland, PA

• Adolescent and Children Mental Health Clinic/Center in Clayton, GA
• Providers in Clayton, GA by specialty
• Adolescent and Children Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.

Verify at the official NPI Registry.