Organization Active NPI

Atlanta Metro Psychiatric Associates

  • Addiction Psychiatry Physician
  • Stone Mountain, GA
National Provider Identifier
1649440140
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
028593 Issued in GA
Legal business name
ATLANTA METRO PSYCHIATRIC ASSOCIATES
Practice address
4641 Stonegate Industrial Blvd
Stone Mountain, GA 30083-1908
Phone
(404) 377-5556
Fax
(404) 292-9903
NPI assigned
Mar 11, 2008
Last updated
May 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Authorized official

Name
Dr. Dennis Arthur O'Brien, M.D.
Title
Medical Director
Phone
(404) 377-5556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X 028593 GA Primary

Addresses

Primary practice location

4641 Stonegate Industrial Blvd
Stone Mountain, GA 30083-1908

Mailing address

4641 Stonegate Industrial Blvd
Stone Mountain, GA 30083-1908
Phone (404) 377-5556

Other identifiers 1

IdentifierTypeStateIssuer
000483348AMedicaidGA

National Provider Directory

National Provider Directory

Locations

1120 E Ponce de Leon Ave
Ste B
Decatur, GA 30030
Phone (404) 377-5556

4641 Stonegate Industrial Blvd
Stone Mountain, GA 30083
Phone (404) 377-5556

5474 Memorial Dr
Ste E
Stone Mountain, GA 30083
Phone (404) 377-5556

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1649440140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 STONEGATE INDUSTRIAL BLVD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300831908",
            "telephone_number": "404-377-5556",
            "fax_number": "404-377-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 STONEGATE INDUSTRIAL BLVD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300831908",
            "telephone_number": "404-377-5556",
            "fax_number": "404-292-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA METRO PSYCHIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "404-377-5556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "GA",
            "license": "028593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000483348A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.