Organization Active NPI

Brain Bridge Psychiatry

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1629995436
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BRAIN BRIDGE PSYCHIATRY
Practice address
1349 W Peachtree St NW
Atlanta, GA 30309-2917
Phone
(407) 850-8417
Fax
(943) 236-2488
NPI assigned
Jul 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Keesha Tamara Maria Hamilton-Fowler, APRN
Title
Pmhnp
Phone
(407) 850-8417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1349 W Peachtree St NW
Atlanta, GA 30309-2917

Mailing address

1349 W Peachtree St NW
Atlanta, GA 30309-2917
Phone (407) 850-8417

National Provider Directory

National Provider Directory

Locations

1349 W Peachtree St NW
Atlanta, GA 30309

NPI Registry JSON

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

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1629995436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 W PEACHTREE ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092917",
            "telephone_number": "407-850-8417",
            "fax_number": "943-236-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 W PEACHTREE ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092917",
            "telephone_number": "407-850-8417",
            "fax_number": "943-236-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN BRIDGE PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "HAMILTON-FOWLER",
        "authorized_official_first_name": "KEESHA",
        "authorized_official_middle_name": "TAMARA MARIA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "407-850-8417",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.