Atlanta Behavioral Medicine LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ATLANTA BEHAVIORAL MEDICINE LLC

Practice address

308 Maxwell Road
Suite 600
Alpharetta, GA 30009

Phone

(678) 205-4322

Fax

(678) 205-5131

NPI assigned

Dec 5, 2006

Last updated

Nov 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad Ahmad, M.D.NPI 1831273036

Title

President

Phone

(404) 434-0058

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 6

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.

• Mohammad Ahmad, M.D.

  • Psychiatry Physician
  • Alpharetta, GA
  • NPI 1831273036
  NPD Authorized official
• Marjorie E Weber, PA

  • Physician Assistant
  • Alpharetta, GA
  • NPI 1689764375
  NPD
• Brian Patrick Ceballos

  • Physician Assistant
  • Fayetteville, NC
  • NPI 1811664584
  NPD
• Azeezat Abisola Samuel, APRN-NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cumming, GA
  • NPI 1447961164
  NPD (past)
• Julie Anne Smith, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lawrenceville, GA
  • NPI 1366225930

  Psychiatry

  NPD (past)
• Edward Prosser

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Dothan, AL
  • NPI 1811615222

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1093873812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 MAXWELL RD STE 600",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30009",
            "telephone_number": "678-205-4322",
            "fax_number": "678-205-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 MAXWELL ROAD",
            "address_2": "SUITE 600",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30009",
            "telephone_number": "678-205-4322",
            "fax_number": "678-205-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA BEHAVIORAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-434-0058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "043841",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.