Katie Clinics, Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

038745 Issued in GA

Legal business name

KATIE CLINICS, INC

Practice address

4585 Austell Rd
Austell, GA 30106-1921

Phone

(770) 948-9338

Fax

(770) 948-5556

NPI assigned

Aug 9, 2007

Last updated

Dec 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Uba Ekwenchi, MDNPI 1376765180

Title

Psychiatrist/Owner

Phone

(770) 948-9338

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Anthony Uba Ekwenchi, MD

  • Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
  • Austell, GA
  • NPI 1376765180
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1447442827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4585 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061921",
            "telephone_number": "770-948-9338",
            "fax_number": "770-948-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4585 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061921",
            "telephone_number": "770-948-9338",
            "fax_number": "770-948-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE CLINICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "EKWENCHI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "UBA",
        "authorized_official_title_or_position": "PSYCHIATRIST/OWNER",
        "authorized_official_telephone_number": "770-948-9338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "038745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Kamman, PT, DPT
• Shalini Kansal, MD
• Charles R Kaplan, M.D.
• Kristen Marie Karellas, PA
• Woderyelesh Kassa, M.D.
• Kathleen Ann Keirn, PA-C
• Keith Braswell, LLC
• Chastaine Kendrick, CNM
• Stacy H. Kendrick, PA
• Kennestone Hospital, Inc (WellStar Pharmacy Network)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.