Organization Active NPI

Alpharetta Psychiatric Services

  • Psychiatry Physician
  • Smyrna, GA
National Provider Identifier
1407079122
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ALPHARETTA PSYCHIATRIC SERVICES
Practice address
4015 South Cobb Drive SE
Suite 140
Smyrna, GA 30080
Phone
(770) 433-1061
Fax
(770) 433-0974
NPI assigned
Apr 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ray C Davis, MD
Title
Doctor Owner
Phone
(770) 433-1061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

4015 South Cobb Drive SE
Suite 140
Smyrna, GA 30080

Mailing address

4015 South Cobb Drive SE
Suite 140
Smyrna, GA 30080
Phone (770) 433-1061

National Provider Directory

National Provider Directory

Locations

4015 S Cobb Dr SE
Ste 140
Smyrna, GA 30080
Phone (770) 435-4089

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407079122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 SOUTH COBB DRIVE SE",
            "address_2": "SUITE 140",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "30080",
            "telephone_number": "770-433-1061",
            "fax_number": "770-433-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 SOUTH COBB DRIVE SE",
            "address_2": "SUITE 140",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "30080",
            "telephone_number": "770-433-1061",
            "fax_number": "770-433-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHARETTA PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "770-433-1061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.