Psych Atlanta, P.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PSYCH ATLANTA, P.C.

Practice address

1012 Coggins Place
Marietta, GA 30060-1306

Phone

(770) 422-2009

Fax

(770) 428-0330

NPI assigned

Mar 9, 2007

Last updated

Mar 24, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Micheal David Banov, MD

Title

Owner

Phone

(770) 422-2009

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 38

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.

• Rodrigo Falcao, M.D.

  • Psychiatry Physician
  • Roswell, GA
  • NPI 1023266426
  Medicare reassignment Care Compare group NPD
• Marla Fleming, APRN, CNSPMH-BC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Roswell, GA
  • NPI 1881010122
  Medicare reassignment Care Compare group NPD
• Michael David Banov, MD

  • Psychiatry Physician
  • Marietta, GA
  • NPI 1881771004
  Medicare reassignment NPD
• Raymond J. Kotwicki, MD, MPH

  • Psychiatry Physician
  • Cartersville, GA
  • NPI 1770696783
  Medicare reassignment NPD
• Lea Morelle, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Marietta, GA
  • NPI 1427030014
  Medicare reassignment NPD
• Namita Patel, RN, CNS/PMH

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Marietta, GA
  • NPI 1205818044
  Medicare reassignment NPD
• Tene Redman, MD

  • Psychiatry Physician
  • Roswell, GA
  • NPI 1275021297
  Medicare reassignment NPD
• Brittany Clarke Toliver, MSN, PMHNP- BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marietta, GA
  • NPI 1235694696
  Medicare reassignment NPD
• Valentino Vasy, MD

  • Psychiatry Physician
  • Marietta, GA
  • NPI 1811556095
  Medicare reassignment NPD
• Rebecca Jane White, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marietta, GA
  • NPI 1629358056
  Medicare reassignment NPD
• Carlos Alberto Amaya, PA-C

  • Physician Assistant
  • Austell, GA
  • NPI 1619753092
  NPD
• Shunesa Perkins, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Marietta, GA
  • NPI 1548862360
  NPD

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1184756090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 CONCORD RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804361",
            "telephone_number": "770-438-1799",
            "fax_number": "770-825-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 COGGINS PLACE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601306",
            "telephone_number": "770-422-2009",
            "fax_number": "770-428-0330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1314 Concord Rd SE",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300804361",
            "country_code": "US",
            "telephone_number": "770-438-1799",
            "fax_number": "770-825-9046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6025 Professional Pkwy Ste 301",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301345610",
            "country_code": "US",
            "telephone_number": "770-438-1799",
            "fax_number": "770-825-9046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Medical Dr NE Ste 350",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "301218005",
            "country_code": "US",
            "telephone_number": "470-737-1606",
            "fax_number": "833-973-4256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11755 Pointe Pl Ste A1",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300764657",
            "country_code": "US",
            "telephone_number": "770-667-1264",
            "fax_number": "770-667-2238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10475 Medlock Bridge Rd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300974439",
            "country_code": "US",
            "telephone_number": "470-737-1569",
            "fax_number": "833-973-2670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Baltimore Pl NW Ste 200",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303082114",
            "country_code": "US",
            "telephone_number": "470-737-1606",
            "fax_number": "833-973-4256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PSYCH ATLANTA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "BANOV",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-422-2009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.