NPIMap

Organization Active NPI

Atlanta Psychiatry & Neurology

  • Psychologist
  • Smyrna, GA
National Provider Identifier
1043348519
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ATLANTA PSYCHIATRY & NEUROLOGY
Practice address
3188 Atlanta Rd SE
Smyrna, GA 30080-8256
Phone
(770) 319-6000
NPI assigned
Feb 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Arlene Kish
Title
Practice Manager
Phone
(770) 319-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

3188 Atlanta Rd SE
Smyrna, GA 30080-8256

Mailing address

3188 Atlanta Rd SE
Smyrna, GA 30080-8256
Phone (770) 319-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040216000265 GA Part B Supplier - Clinic/Group Practice 8224923735 Receives reassigned benefits from 8 practitioners
Practice locations: Austell, GA; Smyrna, GA

National Provider Directory

National Provider Directory

Locations

1790 Mulkey Rd
Ste 6B
Austell, GA 30106
Phone (770) 319-6000

2550 Windy Hill Rd SE
Ste 114
Marietta, GA 30067
Phone (770) 319-6000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHAGBD

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043348519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3188 ATLANTA RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300808256",
            "telephone_number": "770-319-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3188 ATLANTA RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300808256",
            "telephone_number": "770-319-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA PSYCHIATRY & NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KISH",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "770-319-6000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.