Huzaifa a Seidu, MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

HUZAIFA A SEIDU, MD LLC

Doing business as

Lake Country Behavioral Health Clinic

Practice address

931 N Jefferson St NE
Milledgeville, GA 31061-2930

Phone

(678) 677-3782

NPI assigned

Mar 22, 2023

Last updated

Aug 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Huzaifa Abukari SeiduNPI 1548497324

Title

MD

Phone

(678) 677-3782

Specialties & licenses 1

Addresses

Other names 1

• LAKE COUNTRY BEHAVIORAL HEALTH CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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.

• Huzaifa Abukari Seidu, MD

  • Psychiatry Physician
  • Decatur, GA
  • NPI 1548497324
  Medicare reassignment NPD Authorized official
• Beverly Ann Criss

  • Psychiatric/Mental Health Nurse Practitioner
  • Milledgeville, GA
  • NPI 1033996343
  Medicare reassignment NPD

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1699478552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1557 WHITFIELD ST SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802270",
            "telephone_number": "678-677-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 N JEFFERSON ST NE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612930",
            "telephone_number": "678-677-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUZAIFA A SEIDU, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "SEIDU",
        "authorized_official_first_name": "HUZAIFA",
        "authorized_official_middle_name": "ABUKARI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "678-677-3782",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKE COUNTRY BEHAVIORAL HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Rose Hudson, NP
• Lauren Cole Hudson
• Andrea Johnson Hughes, LPC
• Madison Hunt, MSAT, LAT, ATC
• Wendy Denise Hunter, LPN
• Independent Physical Therapy of Ga LLC
• Alexia Ingram, CRNA
• Ironcrest Anesthesia LLC
• Frida Bie Ituka
• Marshall Wright Ivey II, M.D.

• Psychiatry Physician in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.