Organization Active NPI

Total Care Behavioral Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Loganville, GA
National Provider Identifier
1073215554
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TOTAL CARE BEHAVIORAL SERVICES
Practice address
4402 Lawrenceville Rd Ste 216
Loganville, GA 30052-2629
Phone
(678) 830-2307
Fax
(678) 830-2511
NPI assigned
Mar 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Stephanie AbelNPI 1811506272
Title
Ceo
Phone
(404) 820-7539

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4402 Lawrenceville Rd Ste 216
Loganville, GA 30052-2629

Mailing address

910 Athens Hwy # K270
Loganville, GA 30052-4952

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240416003719 GA Part B Supplier - Clinic/Group Practice 6507205069 Receives reassigned benefits from 1 practitioner
Practice locations: Loganville, GA

National Provider Directory

National Provider Directory

Locations

910 Athens Hwy
#K270
Loganville, GA 30052

4396 Lawrenceville Rd
Ste 101
Loganville, GA 30052
Phone (678) 830-2307

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": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1073215554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 ATHENS HWY # K270",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 LAWRENCEVILLE RD STE 216",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300522629",
            "telephone_number": "678-830-2307",
            "fax_number": "678-830-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "ABEL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-820-7539"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loganville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.