Individual provider Active NPI

Brian Barczak, M.D.

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1104009398
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
76418 Issued in GA
Practice address
2900 Chamblee Tucker Rd BLDG 16
Atlanta, GA 30341-4148
Phone
(770) 939-1288
Fax
(770) 212-2203
NPI assigned
Dec 11, 2007
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X 255992 NY
Psychiatry Physician 2084P0800X 76418 GA Primary
Psychiatry Physician 2084P0800X 036181836 IL
Child & Adolescent Psychiatry Physician 2084P0804X 036181836 IL
Child & Adolescent Psychiatry Physician 2084P0804X 41658 KY

Addresses

Primary practice location

2900 Chamblee Tucker Rd BLDG 16
Atlanta, GA 30341-4148

Mailing address

2900 Chamblee Tucker Rd BLDG 16
Atlanta, GA 30341-4148
Phone (770) 939-1288

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
I20160921002145 GA Practitioner - Psychiatry 1052589421 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Indiana University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Healthcare InvestmentsGroup PAC ID 9830327972, 7 clinicians

Practice addresses (Care Compare)

509 Sumter St
Montezuma, GA 31063-1733
Phone (478) 472-3100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
255992NYMDForensic Psychiatry Physician
41658KYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Psychology Center, LLC Psychiatry CurrentSince Aug 1, 2016 Accepting new patients
Premier Healthcare Investments CurrentSince Oct 1, 2016 Accepting new patients
Premier Healthcare Investments CurrentSince Oct 1, 2016 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

2900 Chamblee Tucker Rd
Bldg 16
Chamblee, GA 30341
Phone (770) 939-1288

509 Sumter St
Montezuma, GA 31063
Phone (478) 472-2321

Organizations & group practices 4

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": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1104009398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CHAMBLEE TUCKER RD BLDG 16",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414148",
            "telephone_number": "770-939-1288",
            "fax_number": "770-212-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CHAMBLEE TUCKER RD BLDG 16",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414148",
            "telephone_number": "770-939-1288",
            "fax_number": "770-212-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCZAK",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-11",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NY",
            "license": "255992",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "76418",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036181836",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036181836",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "KY",
            "license": "41658",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.