Active NPI
Jydes Family Clinic LLC
- Child & Adolescent Psychiatry Physician
- Norcross, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- Legal business name
- JYDES FAMILY CLINIC LLC
- Practice address
- 4720 Peachtree Industrial Blvd
Suite 4101
Norcross, GA 30071-5735 - Phone
- (770) 686-3232
- Fax
- (770) 686-3233
- NPI assigned
- Sep 1, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Haolat Abiola Babalakin, M.D.
- Title
- Ceo/Owner
- Phone
- (678) 466-7342
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | Primary | ||
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
4720 Peachtree Industrial Blvd
Suite 4101
Norcross, GA 30071-5735
Mailing address
5805 State Bridge Rd Ste G-106
Johns Creek, GA 30097-8220
Phone (770) 903-4665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202G263383 | Other | GA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3550 Old Milton Pkwy
Alpharetta, GA 30005
Phone (770) 674-0543
4720 Peachtree Industrial Blvd
Ste 4102
Berkeley Lake, GA 30071
Phone (678) 686-3233
3966 S Bogan Rd
Buford, GA 30519
Phone (678) 765-8276
2089 Teron Trce
Ste 225
Dacula, GA 30019
Phone (678) 804-9944
5805 State Bridge Rd
Ste G106
Johns Creek, GA 30097
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Child & Adolescent Psychiatry Physician
- Berkeley Lake, GA
- NPI 1245337708
-
- Family Nurse Practitioner
- Alpharetta, GA
- NPI 1225431240
-
- Professional Counselor
- Buford, GA
- NPI 1508403395
-
- Family Nurse Practitioner
- Gainesville, GA
- NPI 1003124967
-
- Psychiatric/Mental Health Nurse Practitioner
- Norcross, GA
- NPI 1447613351
-
- Mental Health Counselor
- Alpharetta, GA
- NPI 1497491468
-
- Professional Counselor
- Alpharetta, GA
- NPI 1598425936
-
- Professional Counselor
- Buford, GA
- NPI 1306216668
-
- Professional Counselor
- Norcross, GA
- NPI 1255610788
-
- Psychiatric/Mental Health Nurse Practitioner
- Alpharetta, GA
- NPI 1265314058
-
- Psychiatric/Mental Health Clinical Nurse Specialist
- Dahlonega, GA
- NPI 1730425307
-
- Professional Counselor
- Sandy Springs, GA
- NPI 1639524721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759968000000",
"number": "1275840944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5805 STATE BRIDGE RD STE G-106",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300978220",
"telephone_number": "770-903-4665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4720 PEACHTREE INDUSTRIAL BLVD",
"address_2": "SUITE 4101",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300715735",
"telephone_number": "770-686-3232",
"fax_number": "770-686-3233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JYDES FAMILY CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-01",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A",
"authorized_official_last_name": "BABALAKIN",
"authorized_official_first_name": "HAOLAT",
"authorized_official_middle_name": "ABIOLA",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "678-466-7342",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "202G263383",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.