Jefferson Psychiatric Services, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

JEFFERSON PSYCHIATRIC SERVICES, LLC

Practice address

44 Professional Dr
Jefferson, GA 30549-6333

Phone

(706) 395-8351

NPI assigned

Jan 21, 2025

Organization subpart

No

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

Authorized official

Name

Ben Harrison

Title

Practice Owner

Phone

(678) 897-9717

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tasha Mae Aldentaler, RN

  • Psychiatry Physician
  • Jefferson, GA
  • NPI 1730976721
  NPD

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1366254005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 WASHINGTON ST",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305491003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 PROFESSIONAL DR",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305496333",
            "telephone_number": "706-395-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "678-897-9717"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jefferson City Schools
• Jefferson Counseling, LLC
• Jefferson Drug Company, Inc.
• Jefferson Pain Clinic Inc
• Jefferson Pediatrics, Inc.
• Erin Melissa Jones, OD
• Sierra Justice
• K and C Pharmacies Inc (Jefferson Drugs)
• Courtney Keefer
• Daniel Lee Keller, PT, DPT

• Psychiatry Physician in Jefferson, GA
• Providers in Jefferson, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.