Active NPI
Faith Psychiatry LLC
- Clinical Psychologist
- Millen, GA
National Provider Identifier
1114880127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- FAITH PSYCHIATRY LLC
- Practice address
- 650 Ross Ave
Millen, GA 30442-1709 - Phone
- (706) 755-5243
- NPI assigned
- Dec 5, 2025
- Last updated
- Dec 5, 2025
- 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
- Mary L Devaul- Eshlaman, DO
- Title
- Owner
- Phone
- (706) 755-5243
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
650 Ross Ave
Millen, GA 30442-1709
Mailing address
650 Ross Ave
Millen, GA 30442-1709
Phone (706) 755-5243
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Psychiatry Physician
- Saint Marys, GA
- NPI 1104972025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764892800000",
"number": "1114880127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 ROSS AVE",
"city": "MILLEN",
"state": "GA",
"postal_code": "304421709",
"telephone_number": "706-755-5243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 ROSS AVE",
"city": "MILLEN",
"state": "GA",
"postal_code": "304421709",
"telephone_number": "706-755-5243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAITH PSYCHIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-05",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A",
"authorized_official_last_name": "DEVAUL- ESHLAMAN",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-755-5243",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millen, GA
- Ronald Sean Demeyer, FNP
- Pamela W. Drake, RN
- Eagle Pharmacy Inc (Eagle Pharmacy)
- East Georgia Healthcare Center Inc
- East Georgia Healthcare Center, Inc. (Jenkins County Schools)
- Rhonda Fields, RN
- Kylie Floyd
- Ga Medical Holdings Corp (Jenkins County Medical Center)
- Ga Medical Holdings Corp (Jenkins County Medical Center)
- Heywood Kyle Gay, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.