Southside Psychiatric Associates, P.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

024707 Issued in GA

Legal business name

SOUTHSIDE PSYCHIATRIC ASSOCIATES, P.C.

Practice address

240 Corporate Center Dr
Suite D
Stockbridge, GA 30281-7214

Phone

(678) 284-9171

NPI assigned

Jan 28, 2007

Last updated

Aug 22, 2020By 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

Carol A Lyle, MDNPI 1568573871

Title

Principal

Phone

(678) 284-9171

Specialties & licenses 1

Addresses

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.

• Carol A Lyle, M.D.

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1568573871
  Authorized official Same address or phone

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265588438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 CORPORATE CENTER DR",
            "address_2": "SUITE D",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817214",
            "telephone_number": "678-284-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 CORPORATE CENTER DR",
            "address_2": "SUITE D",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817214",
            "telephone_number": "678-284-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE PSYCHIATRIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LYLE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "678-284-9171",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "024707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Medical Clinic, LLC
• Southside Behavioral Health, Inc. (Behavioral Healthcare Solutions, Inc.)
• Southside Kidney Clinics, PC
• Southside Medical Center, Inc (Southside Medical Center -Stockbridge)
• Southside Pediatrics
• Southside Psychiatric Associates, P.C.
• Southside Surgical Assistants, LLC
• Speech About It, L.L.C.
• Speech Blossoms LLC
• Emelda Louise Speeks

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.