Southside Psychiatric Consultants LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SOUTHSIDE PSYCHIATRIC CONSULTANTS LLC

Practice address

6572 River Park Dr Ste 101G
Riverdale, GA 30274-2214

Phone

(404) 734-4445

Fax

(404) 745-0552

NPI assigned

Nov 14, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Ralph Ogwotu, NPNPI 1144674581

Title

Business Owner

Phone

(404) 734-4445

Specialties & licenses 3

Addresses

Other names 1

• Business Owner Doing business as

Locations

Practitioners 1

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

• Ralph Ogwotu

  • Psychiatric/Mental Health Nurse Practitioner
  • Riverdale, GA
  • NPI 1144674581
  NPD Authorized official

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1902670490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W PIER WAY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144617",
            "telephone_number": "404-734-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6572 RIVER PARK DR STE 101G",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742214",
            "telephone_number": "404-734-4445",
            "fax_number": "404-745-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE PSYCHIATRIC CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "OGWOTU",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "404-734-4445",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Business Owner",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southern Regional Medical Center, Inc
• Southern Regional Medical Center, Inc.
• Southern Regional Physicians Management Group, LLC
• Southside Internal Medicine PC
• Southside Medical Center, Inc.
• Spectrum Health Services
• Fredne Speights, M.D./C.S.A.
• Ivy N Springer
• Phillip Springer, PT, DPT
• Peter Steckl, MD

• Psychiatric/Mental Health Nurse Practitioner in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.