Conyers Psychiatry LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CONYERS PSYCHIATRY LLC

Practice address

1277 Wellbrook Cir NE Ste C
Conyers, GA 30012-3973

Phone

(770) 679-5453

NPI assigned

Feb 17, 2023

Organization subpart

No

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

Authorized official

Name

Alana Williams

Title

RCM

Phone

(678) 820-9447

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Selma Ali Yallah, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Conyers, GA
  • NPI 1831750975
  Medicare reassignment NPD

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1457059628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1277 WELLBROOK CIR NE STE C",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123973",
            "telephone_number": "770-679-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 WELLBROOK CIR NE STE C",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123973",
            "telephone_number": "770-679-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONYERS PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ALANA",
        "authorized_official_title_or_position": "RCM",
        "authorized_official_telephone_number": "678-820-9447"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003250303A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conyers Family Practice Inc
• Conyers Ga Opco LLC
• Conyers Internal Medicine LLC
• Conyers Medical Clinic, PC
• Conyers Pediatrics, PC
• Conyers Smiles Dentistry, PC
• Conyers Walk in Clinic
• Brittany Cook, CRNP
• Dionne Cooley
• Felicia Cecile Cooper, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.