Organization Active NPI

Eversage Wellness and Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Chatsworth, GA
National Provider Identifier
1467358580
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
EVERSAGE WELLNESS AND PSYCHIATRY
Practice address
1007 Woodlawn Rd
Chatsworth, GA 30705-4919
Phone
(706) 670-6488
NPI assigned
Oct 15, 2026
Last updated
Oct 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Authorized official

Name
Kristen Slade, APRN
Title
Pmhnp/Owner
Phone
(706) 670-6488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

1007 Woodlawn Rd
Chatsworth, GA 30705-4919

Mailing address

1007 Woodlawn Rd
Chatsworth, GA 30705-4919
Phone (706) 670-6488

NPI Registry JSON

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

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1467358580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 WOODLAWN RD",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307054919",
            "telephone_number": "706-670-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 WOODLAWN RD",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307054919",
            "telephone_number": "706-670-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERSAGE WELLNESS AND PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "SLADE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PMHNP/OWNER",
        "authorized_official_telephone_number": "706-670-6488",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.