Peace of Mind Psychiatry, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PEACE OF MIND PSYCHIATRY, LLC

Practice address

3400 Chapel Hill Rd
Suite 100/39
Douglasville, GA 30135-1739

Phone

(470) 206-5640

Fax

(404) 348-2656

NPI assigned

Jan 17, 2023

Organization subpart

No

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

Authorized official

Name

Kierston Wiman, NPNPI 1144749276

Title

Owner

Phone

(470) 206-5640

Specialties & licenses 1

Addresses

Other names 1

• Peace of Mind Psychiatry, LLC Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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

• Kierston Paisley Wiman, DNP, APRN-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Decatur, GA
  • NPI 1144749276
  Medicare reassignment Care Compare group NPD Authorized official
• Kelley Dawn Jenkins, PMHNP-BC

  • Psychiatry Physician
  • Newnan, GA
  • NPI 1821657800
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1336854165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CHAPEL HILL RD # 10039",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CHAPEL HILL RD",
            "address_2": "SUITE 100/39",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351739",
            "telephone_number": "470-206-5640",
            "fax_number": "404-348-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "WIMAN",
        "authorized_official_first_name": "KIERSTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-206-5640",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peace of Mind Psychiatry, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Peace of Mind Psychiatry, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tushar Patel, RPH
• Ladonia Patterson, N.P.
• Sharon Patton
• Clinton Payne, LPC
• Peace of Mind Counseling, LLC
• Annelise Pearce
• Alana Pearson, M.D.
• Benjamin Karl Pearson, PHARM.D.
• Mikia Peavy
• Michael Peck

• Psychiatric/Mental Health Nurse Practitioner in Douglasville, GA
• Providers in Douglasville, 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 Feb 20, 2023; 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.