Psychiatric Services at Brookstone, PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

65152 Issued in GA

Legal business name

PSYCHIATRIC SERVICES AT BROOKSTONE, PC

Practice address

2263 Brookstone Centre Pkwy Ste C
Columbus, GA 31904-4650

Phone

(706) 341-4060

Fax

(706) 341-4061

NPI assigned

Oct 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Kevin McPherson, MDNPI 1477755312

Title

President

Phone

(706) 341-4060

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Kevin McPherson, M.D.

  • Psychiatry Physician
  • Columbus, GA
  • NPI 1477755312
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1194129544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2263 BROOKSTONE CENTRE PKWY STE C",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319044650",
            "telephone_number": "706-341-4060",
            "fax_number": "706-341-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2263 BROOKSTONE CENTRE PKWY STE C",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319044650",
            "telephone_number": "706-341-4060",
            "fax_number": "706-341-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC SERVICES AT BROOKSTONE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "MCPHERSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-341-4060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "65152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.

Verify at the official NPI Registry.