Individual provider Active NPI

Panchajanya Paul, MD

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1356664007
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
069419 Issued in GA
Practice address
6667 Vernon Woods Dr Ste B20
Atlanta, GA 30328-3216
Phone
(678) 250-8883
Fax
(678) 916-6619
NPI assigned
Mar 9, 2010
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 069419 GA Primary

Addresses

Primary practice location

6667 Vernon Woods Dr Ste B20
Atlanta, GA 30328-3216

Mailing address

3070 Windward PLZ # F345
Alpharetta, GA 30005-8771
Phone (678) 250-8883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160216000358 GA Practitioner - Psychiatry 2163646613 Reassigns benefits to 1 organization
I20220916001973 AZ Practitioner - Psychiatry 2163646613 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3070 Windward Plaza
Suite F 345
Alpharetta, GA 30005-8782

3070 Windward PLZ
Suite F345
Alpharetta, GA 30005-8782

6667 Vernon Woods Dr
Suite B20
Atlanta, GA 30328-3216
Phone (678) 250-8883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Holistic Psychiatry LLC Psychiatry CurrentSince Jun 1, 2022 Accepting new patients
Holistic Family Psychiatry Psychiatry CurrentSince May 1, 2020 Accepting new patients
Az Holding 4, LLC Psychiatry CurrentSince Aug 1, 2023 Accepting new patients
Southwestern Children's Health Services, Inc. CurrentSince Mar 30, 2024 Accepting new patients
Dunwoody Mental Health Center PastSince Sep 1, 2020 Accepting new patients
Atlanta Recovery Place Past Accepting new patients
Amen Clinics, Inc Atlanta Past Accepting new patients
St Lukes Behavioral Hospital LP Past Accepting new patients
RV Behavioral, LLC Past Accepting new patients
Dunwoody Recovery Place LLC PastSince Oct 29, 2023 Accepting new patients
Arp Management LLC Past Accepting new patients
Southwestern Children's Health Services, Inc. Past Accepting new patients
Rohit Khanna & Associates, LLC Psychiatry PastSince Jan 28, 2020 Accepting new patients
Dunwoody Behavioral Health Center LLC PastSince Jun 22, 2021 Accepting new patients

Locations

2190 N Grace Blvd
Chandler, AZ 85225
Phone (480) 470-0069

1425 S Higley Rd
Ste 104
Gilbert, AZ 85296
Phone (480) 470-0069

929 N Val Vista Dr
Ste 109130
Gilbert, AZ 85234

9160 E Horseshoe Rd
Scottsdale, AZ 85258
Phone (480) 476-7000

3070 Windward Plz
Ste F345
Alpharetta, GA 30005

1535 Mount Vernon Rd
Dunwoody, GA 30338
Phone (470) 291-4925

6667 Vernon Woods Dr
Ste B20
Sandy Springs, GA 30328
Phone (678) 250-8883

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1356664007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 WINDWARD PLZ # F345",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300058771",
            "telephone_number": "678-250-8883",
            "fax_number": "678-916-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6667 VERNON WOODS DR STE B20",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283216",
            "telephone_number": "678-250-8883",
            "fax_number": "678-916-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "PANCHAJANYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-09",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "069419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.