Organization Active NPI

Breakthru Psychiatric Solutions LLC

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1669110649
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BREAKTHRU PSYCHIATRIC SOLUTIONS LLC
Practice address
755 Mount Vernon Hwy NE Ste 220
Atlanta, GA 30328-4277
Phone
(470) 231-2235
Fax
(470) 231-2059
NPI assigned
May 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Authorized official

Name
Dr. Karen Elaine Giles, MDNPI 1902302821
Title
Founder, Psychiatrist, Cmo
Phone
(208) 850-3061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

755 Mount Vernon Hwy NE Ste 220
Atlanta, GA 30328-4277

Mailing address

755 Mount Vernon Hwy NE Ste 220
Atlanta, GA 30328-4277
Phone (470) 231-2235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241115000738 GA Part B Supplier - Clinic/Group Practice 3375077118 Receives reassigned benefits from 2 practitioners
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1669110649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY NE STE 220",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284277",
            "telephone_number": "470-231-2235",
            "fax_number": "470-231-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY NE STE 220",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284277",
            "telephone_number": "470-231-2235",
            "fax_number": "470-231-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHRU PSYCHIATRIC SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "GILES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "FOUNDER, PSYCHIATRIST, CMO",
        "authorized_official_telephone_number": "208-850-3061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "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 May 20, 2022; 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.