Peachtree Psychiatry of Atlanta Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PEACHTREE PSYCHIATRY OF ATLANTA INC

Practice address

3330 Cumberland Blvd SE Ste Office80
Atlanta, GA 30339-5995

Phone

(678) 253-0558

NPI assigned

Jul 24, 2026

Organization subpart

No

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

Authorized official

Name

Ebony Renae Petit, MD

Title

MD/President

Phone

(205) 200-5110

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1784851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1134040058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 CUMBERLAND BLVD SE STE OFFICE80",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395995",
            "telephone_number": "678-253-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 CUMBERLAND BLVD SE STE OFFICE80",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395995",
            "telephone_number": "678-253-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE PSYCHIATRY OF ATLANTA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-24",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "PETIT",
        "authorized_official_first_name": "EBONY",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "205-200-5110",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.