South Atlanta Psychiatry LLC

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

SOUTH ATLANTA PSYCHIATRY LLC

Practice address

253 Upper Riverdale Rd SW Ste C
Riverdale, GA 30274-4945

Phone

(770) 876-2789

NPI assigned

Apr 8, 2019

Organization subpart

No

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

Authorized official

Name

Srinivas Kolipaka

Title

MD

Phone

(770) 876-2789

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1578026431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 UPPER RIVERDALE RD SW STE C",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302744945",
            "telephone_number": "770-876-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 UPPER RIVERDALE RD SW STE C",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302744945",
            "telephone_number": "770-876-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ATLANTA PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "KOLIPAKA",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "770-876-2789"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Waye Coley Coley DMD,PC
• Ayodeji Sotimehin
• South Atlanta Medical Care
• South Atlanta Neurology and Diagnostics, P.C.
• South Atlanta Pediatrics
• South Atlanta Pulmonary & Critical Care Associates
• South Atlanta Radiology Associates, P.C.
• South Metro Primary Care
• South Metro Primary Care,P.C.
• South Sound Inpatient Physicians, PLLC

• All providers in Riverdale, GA
• Psychiatric Hospital Unit in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.