Active NPI
Tagta, LLC
Doing business as Georgia Behavioral Health Professionals
- Psychiatry Physician
- Smyrna, GA
National Provider Identifier
1700182789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- TAGTA, LLC
- Doing business as
- Georgia Behavioral Health Professionals
- Practice address
- 4015 S Cobb Dr SE
Ste 115
Smyrna, GA 30080-6303 - Phone
- (770) 431-2354
- Fax
- (770) 436-7143
- NPI assigned
- Feb 8, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley Tagtachian, MBA, CPA
- Title
- President
- Phone
- (770) 431-2354
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Psychiatry Physician | 2084P0800X | Primary | ||
| Addiction Psychiatry Physician | 2084P0802X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X |
Addresses
Primary practice location
4015 S Cobb Dr SE
Ste 115
Smyrna, GA 30080-6303
Mailing address
4015 S Cobb Dr SE
Ste 115
Smyrna, GA 30080-6303
Phone (770) 431-2354
Other names 1
- Georgia Behavioral Health Professionals
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297123200000",
"number": "1700182789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4015 S COBB DR SE",
"address_2": "STE 115",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300806303",
"telephone_number": "770-431-2354",
"fax_number": "770-436-7143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 S COBB DR SE",
"address_2": "STE 115",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300806303",
"telephone_number": "770-431-2354",
"fax_number": "770-436-7143"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAGTA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-08",
"last_updated": "2011-02-08",
"status": "A",
"authorized_official_last_name": "TAGTACHIAN",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-431-2354",
"authorized_official_credential": "MBA, CPA"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0802X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Georgia Behavioral Health Professionals",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.