Psychiatry Asscociates of South Atlanta, PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

046703 Issued in GA

Legal business name

PSYCHIATRY ASSCOCIATES OF SOUTH ATLANTA, PC

Practice address

250 Arrowhead Blvd
Jonesboro, GA 30236-1106

Phone

(770) 603-8838

Fax

(770) 603-3063

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Narendra Nagareddy, MD

Title

Provider

Phone

(770) 603-8838

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Moshe Marvin E Gittelson, LCSW

  • Clinical Social Worker
  • Jonesboro, GA
  • NPI 1366454100
  NPD (past)
• Kathleen O'Loughlin, LCSW

  • Clinical Social Worker
  • Jonesboro, GA
  • NPI 1407984651
  NPD (past)
• Rosalind Maria Polk-Hall, MA, LPC

  • Professional Counselor
  • Jonesboro, GA
  • NPI 1326161357
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1811048481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 ARROWHEAD BLVD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361106",
            "telephone_number": "770-603-8838",
            "fax_number": "770-603-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 ARROWHEAD BLVD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361106",
            "telephone_number": "770-603-8838",
            "fax_number": "770-603-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRY ASSCOCIATES OF SOUTH ATLANTA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "NAGAREDDY",
        "authorized_official_first_name": "NARENDRA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "770-603-8838",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "046703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pro Omnibus Diagnostic Center LLC
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• Prosperity Support Services, Inc.
• David G Prozzo, MD
• Lisa Pruitt, RN, IBCLC
• Pulse Treatment Center , LLC
• Rachel Peter Puttnam, M.D
• Sandra Pye
• Bayinah Habiba Qawiy
• Qol Treatment Holdings LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.

Verify at the official NPI Registry.