Premier Behavioral Health Services of Georgia

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PREMIER BEHAVIORAL HEALTH SERVICES OF GEORGIA

Practice address

775 Houston Mill Rd NE
Atlanta, GA 30329-4224

Phone

(678) 995-5690

Fax

(404) 393-8939

NPI assigned

Mar 7, 2011

Organization subpart

No

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

Authorized official

Name

Santhosh Augustine, M.D.

Title

Ceo

Phone

(910) 733-2007

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1447558028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 HOUSTON MILL RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303294224",
            "telephone_number": "678-995-5690",
            "fax_number": "404-393-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 HOUSTON MILL RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303294224",
            "telephone_number": "678-995-5690",
            "fax_number": "404-393-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER BEHAVIORAL HEALTH SERVICES OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "AUGUSTINE",
        "authorized_official_first_name": "SANTHOSH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-733-2007",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.