Organization Active NPI

Uplift Psychiatry

  • Psychiatry Physician
  • Kennesaw, GA
National Provider Identifier
1285407361
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
UPLIFT PSYCHIATRY
Practice address
5150 Stilesboro Rd NW Ste 430
Kennesaw, GA 30152-7759
Phone
(470) 231-8137
NPI assigned
Nov 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Dr. Nisha Chande, MDNPI 1902082282
Title
Psychiatrist
Phone
(706) 951-1073

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

5150 Stilesboro Rd NW Ste 430
Kennesaw, GA 30152-7759

Mailing address

5330 Brookstone Drive
Suite 250 Box 801694
Acworth, GA 30101

Other practice location 1

3962 Nemours Trl NW
Kennesaw, GA 30152-7830
Phone (706) 951-1073

National Provider Directory

National Provider Directory

Locations

5150 Stilesboro Rd NW
Ste 430
Kennesaw, GA 30152
Phone (770) 218-2300

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1285407361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 BROOKSTONE DRIVE",
            "address_2": "SUITE 250 BOX 801694",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "30101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 STILESBORO RD NW STE 430",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527759",
            "telephone_number": "470-231-8137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3962 Nemours Trl NW",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301527830",
            "country_code": "US",
            "telephone_number": "706-951-1073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UPLIFT PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "CHANDE",
        "authorized_official_first_name": "NISHA",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "706-951-1073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.