Georgia Psychological Services, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

GEORGIA PSYCHOLOGICAL SERVICES, LLC

Practice address

1431 Riverside Pkwy Ste a
Lawrenceville, GA 30043-5996

Phone

(770) 851-7662

NPI assigned

Aug 8, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Chad PottsNPI 1609402551

Title

Ceo

Phone

(770) 851-7662

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Chad Potts, BCPC

  • Pastoral Counselor
  • Lawrenceville, GA
  • NPI 1609402551
  NPD Authorized official

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1104657436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 RIVERSIDE PKWY STE A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 RIVERSIDE PKWY STE A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435996",
            "telephone_number": "770-851-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "POTTS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-851-7662",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Neurology Care PC
• Georgia Ophthalmology Referral Center, LLC (Woolfson Eye Institute, LLC)
• Georgia Pain and Wellness Center (Summit Spine and Joint Centers)
• Georgia Physicians of Atlanta
• Georgia Plastic Surgery & Reconstructive Care PC
• Georgia Quality Kidney Care, LLC
• Georgia Sleep Centers
• Georgia Urology PA
• Georgia Urology PA
• Georgia Urology, PA (Georgia Urology ASC Gwinnett)

• Psychiatric/Mental Health Nurse Practitioner in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.