Southside Psychiatric Associates, P.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

024707 Issued in GA

Legal business name

SOUTHSIDE PSYCHIATRIC ASSOCIATES, P.C.

Practice address

7444 Hannover Pkwy S
Ste. 200
Stockbridge, GA 30281-9303

Phone

(770) 506-8187

Fax

(770) 506-7436

NPI assigned

May 1, 2012

Organization subpart

No

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

Authorized official

Name

Carol Ann Lyle, M.D.

Title

Secretary

Phone

(770) 506-8187

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1821356528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7444 HANNOVER PKWY S",
            "address_2": "STE. 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819303",
            "telephone_number": "770-506-8187",
            "fax_number": "770-506-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7444 HANNOVER PKWY S",
            "address_2": "STE. 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819303",
            "telephone_number": "770-506-8187",
            "fax_number": "770-506-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE PSYCHIATRIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "LYLE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "770-506-8187",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "024707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southside Behavioral Health, Inc.
• Southside Kidney Clinics, PC
• Southside Medical Center, Inc
• Southside Pediatrics
• Southside Psychiatric Associates, P.C.
• Southside Surgical Assistants, LLC
• Speech Blossoms LLC
• Emelda Louise Speeks
• Hyacinth D. Spence, CRNA
• Jason Spiegler, M.D.

• Psychiatry Physician in Stockbridge, GA
• Providers in Stockbridge, 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 1, 2012; 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.