Premier Psychiatric and Medical Consultants

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN118785 Issued in GA

Legal business name

PREMIER PSYCHIATRIC AND MEDICAL CONSULTANTS

Practice address

1430 Stephens Dr NE
Atlanta, GA 30329-3716

Phone

(404) 403-3326

NPI assigned

Dec 15, 2009

Organization subpart

No

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

Authorized official

Name

Beth S. Botnick, FNP-BCNPI 1780676031

Title

Clinical Director

Phone

(404) 403-3326

Specialties & licenses 1

Addresses

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.

• Beth S Botnick, NP

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1780676031
  Medicare reassignment Care Compare group NPD Authorized official
• Joseph Y Botnick, LCSW

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1982864591
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1285963595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 STEPHENS DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 STEPHENS DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293716",
            "telephone_number": "404-403-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PSYCHIATRIC AND MEDICAL CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "BOTNICK",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "404-403-3326",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN118785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Health and Wellness Management, LLC
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• Premier Psychiatric & Psychotherapy Consulting
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• Premier Shockwave, Inc.
• Premier South Medical Group, P.C.
• Premier Surgical Pavilion of Atlanta LLC
• Premier Testing and Screening Solutions, LLC

• Psychiatric/Mental Health Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.