R Michael Prudent LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

037340 Issued in GA

Legal business name

R MICHAEL PRUDENT LLC

Practice address

675 Seminole Ave NE
Suite 305
Atlanta, GA 30307-3408

Phone

(404) 685-3113

Fax

(404) 601-4494

NPI assigned

Jan 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Robert Michael Prudent, MDNPI 1366587479

Title

Physician

Phone

(678) 296-4224

Specialties & licenses 1

Addresses

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.

• Robert Michael Prudent, M.D.

  • Psychiatry Physician
  • Atlanta, GA
  • NPI 1366587479
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1720318306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 SEMINOLE AVE NE STE 305",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303073415",
            "telephone_number": "678-296-4224",
            "fax_number": "404-601-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 SEMINOLE AVE NE",
            "address_2": "SUITE 305",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303073408",
            "telephone_number": "404-685-3113",
            "fax_number": "404-601-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R MICHAEL PRUDENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "PRUDENT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "678-296-4224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "037340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.