Apex Behavioral Associates, LLC
Organization Active NPI Psychiatry Physician · Marietta, GA
NPI 1710154893 · NPPES record last updated Oct 27, 2023
Key facts
- NPI
- 1710154893
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- APEX BEHAVIORAL ASSOCIATES, LLC
- Practice address
- 1355 Terrell Mill Rd SE BLDG 1464100
Marietta, GA 30067-5496 - Phone
- (770) 438-1030
- NPI assigned
- May 8, 2008
- Organization subpart
- No
Authorized official
- Name
- Evita Ajayi
- Title
- Office Manager
- Phone
- (770) 438-1030
Practitioners 2
-
Edward Ajayi, MD
-
Kingsley E Iyamu, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040526001160 | GA | Part B Supplier - Clinic/Group Practice | 4880675750 |
Receives reassigned benefits from 2 practitioners Practice locations: Marietta, GA |
National Provider Directory
Locations
1355 Terrell Mill Rd SE
Bldg 1464100
Marietta, GA 30067
Phone (770) 438-1030
1355 Terrell Mill Rd SE
Bldg 1464
Marietta, GA 30067
Phone (770) 438-1030
1850 Lake Park Dr SE
Ste 218
Smyrna, GA 30080
Phone (404) 213-8526
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | Yes |
Addresses
Primary practice location
1355 Terrell Mill Rd SE BLDG 1464100
Marietta, GA 30067-5496
Mailing address
1355 Terrell Mill Rd SE BLDG 1464100
Marietta, GA 30067-5496
Other providers in Marietta, GA
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- Sheila Anyaoha
- Manolo Bunag Apanay
- Apek ABA Services
- Apex Medical Center PC
- Apex Surgical Associates, LLC
- Eric Nicholas Appelbaum
- Mavis Appiah Kubi
- Apple Dental Care
All providers in Marietta, GA · Psychiatry Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.