Active NPI
North Atlanta Psychiatry
- Neurology Physician
- Alpharetta, GA
National Provider Identifier
1114177631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- NORTH ATLANTA PSYCHIATRY
- Practice address
- 3582 Old Milton Pkwy
Alpharetta, GA 30005-4465 - Phone
- (770) 225-3000
- Fax
- (770) 225-3001
- NPI assigned
- Sep 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jyothi N Mattam, MD
- Title
- Medical Doctor
- Phone
- (678) 575-7294
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
3582 Old Milton Pkwy
Alpharetta, GA 30005-4465
Mailing address
7902 Amawalk Circle
Johns Creek, GA 30097
Phone (678) 575-7294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3582 Old Milton Pkwy
Alpharetta, GA 30005
Phone (678) 575-7294
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Alpharetta, GA
- NPI 1306978929
-
- Counselor
- Alpharetta, GA
- NPI 1497043384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290470400000",
"number": "1114177631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7902 AMAWALK CIRCLE",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "30097",
"telephone_number": "678-575-7294",
"fax_number": "770-225-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3582 OLD MILTON PKWY",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054465",
"telephone_number": "770-225-3000",
"fax_number": "770-225-3001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH ATLANTA PSYCHIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-19",
"last_updated": "2010-11-23",
"status": "A",
"authorized_official_last_name": "MATTAM",
"authorized_official_first_name": "JYOTHI",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "678-575-7294",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
- North Atlanta Medical & Digestive Care LLC
- North Atlanta Nephrology Hypertention LLC
- North Atlanta Oral and Maxillofacial Surgery
- North Atlanta Plastic Surgery Group LLC
- North Atlanta Podiatry GRP,PC
- North Atlanta Scan Associates
- North Atlanta Scan Associates
- North Atlanta Scan Associates
- North Atlanta Scan Associates Inc
- North Atlanta Spine, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.