Gainesville Mental Health Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GAINESVILLE MENTAL HEALTH SERVICES LLC

Practice address

2565 Thompson Bridge Rd Ste 111
Gainesville, GA 30501-1723

Phone

(470) 839-5845

NPI assigned

Apr 14, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Muhammad Ali Pervaiz, MD, MSITNPI 1417174186

Title

Owner

Phone

(914) 316-4218

Specialties & licenses 3

Addresses

Other names 1

• Lanier Wellness Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 2

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

• Muhammad Ali Pervaiz, MD

  • Psychiatry Physician
  • Roswell, GA
  • NPI 1417174186
  Medicare reassignment NPD Authorized official
• Carolyn Lizzy Mwangi

  • Family Nurse Practitioner
  • Dahlonega, GA
  • NPI 1164970661
  Medicare reassignment NPD

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1235825035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 GREY ABBEY DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 THOMPSON BRIDGE RD STE 111",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305011723",
            "telephone_number": "470-839-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "PERVAIZ",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-316-4218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MSIT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lanier Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.