Organization Active NPI

Pinnacle Behavioral Health

  • Psychiatry Physician
  • Norcross, GA
National Provider Identifier
1619714037
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PINNACLE BEHAVIORAL HEALTH
Practice address
4864 Jimmy Carter Blvd Ste 205
Norcross, GA 30093-3704
Phone
(770) 676-5763
Fax
(770) 676-5723
NPI assigned
Jul 12, 2024
Last updated
Jul 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Authorized official

Name
Leroy Morgan
Title
Ceo
Phone
(404) 886-7818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

4864 Jimmy Carter Blvd Ste 205
Norcross, GA 30093-3704

Mailing address

4864 Jimmy Carter Blvd Ste 205
Norcross, GA 30093-3704

Other names 1

  • Pinnacle Behavioral Health Former legal business name

National Provider Directory

National Provider Directory

Locations

4864 Jimmy Carter Blvd
Ste 205
Norcross, GA 30093
Phone (770) 676-5763

NPI Registry JSON

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1619714037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4864 JIMMY CARTER BLVD STE 205",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4864 JIMMY CARTER BLVD STE 205",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933704",
            "telephone_number": "770-676-5763",
            "fax_number": "770-676-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "LEROY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-886-7818"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Behavioral Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.