BMD Telepsychiatry LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BMD TELEPSYCHIATRY LLC

Practice address

1360 Caduceus Way
BLDG 400, Ste 102
Watkinsville, GA 30677

Phone

(678) 358-2209

NPI assigned

Aug 25, 2021

Organization subpart

No

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

Authorized official

Name

Barbara Marie D'Orio, MDNPI 1750391470

Title

Managing Member

Phone

(678) 358-2209

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barbara Marie D'Orio, MD, MPA

  • Psychiatry Physician
  • Watkinsville, GA
  • NPI 1750391470
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1649947904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 CADUCEUS WAY",
            "address_2": "BLDG 400, STE 102",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "30677",
            "telephone_number": "678-358-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 CADUCEUS WAY",
            "address_2": "BLDG 400, STE 102",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "30677",
            "telephone_number": "678-358-2209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1387 Sandy Cross Rd",
            "address_purpose": "LOCATION",
            "city": "Comer",
            "state": "GA",
            "postal_code": "306296231",
            "country_code": "US",
            "telephone_number": "678-358-2209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BMD TELEPSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "D'ORIO",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "678-358-2209",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054240743",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Blaney, NBC-HWC
• Ashley Keith Blanton, LPC
• Ivette Lopez Bledsoe, LCSW
• Jasen Lee Blehm, MSW
• Blu Iris Counseling
• Vanessa Bobe-Gonzalez
• Kristina Poss Boccucci, PA
• Susan Boekel, RDN, LDN
• Alan Bohnhoff, LPC
• Alyssa Bolton

• Clinic/Center in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.