NPIMap

Organization Active NPI

Peachtree Psychiatric Professionals PC

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1891822235
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PEACHTREE PSYCHIATRIC PROFESSIONALS PC
Practice address
3500 Piedmont Rd NE
Suite 775
Atlanta, GA 30305-1507
Phone
(404) 351-2008
Fax
(404) 351-0243
NPI assigned
Feb 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mary Lisa Huber, MDNPI 1619007192
Title
Vice President
Phone
(404) 351-2008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

3500 Piedmont Rd NE
Suite 775
Atlanta, GA 30305-1507

Mailing address

3500 Piedmont Rd NE
Suite 775
Atlanta, GA 30305-1520
Phone (404) 351-2008

National Provider Directory

National Provider Directory
Tax ID family
Peachtree Psychiatric Professionals PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891822235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 PIEDMONT RD NE",
            "address_2": "SUITE 775",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051520",
            "telephone_number": "404-351-2008",
            "fax_number": "404-351-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 PIEDMONT RD NE",
            "address_2": "SUITE 775",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051507",
            "telephone_number": "404-351-2008",
            "fax_number": "404-351-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE PSYCHIATRIC PROFESSIONALS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "404-351-2008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.