Individual provider Active NPI

Mehmood Mehdi, M.D.

  • Psychiatry Physician
  • Loganville, GA
National Provider Identifier
1922017987
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
057725 Issued in GA
Practice address
367 Athens Hwy Ste 1800
Loganville, GA 30052-8293
Phone
(770) 554-2999
Fax
(770) 679-6390
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 057725 GA Primary

Addresses

Primary practice location

367 Athens Hwy Ste 1800
Loganville, GA 30052-8293

Mailing address

367 Athens Hwy Ste 1800
Loganville, GA 30052-8293
Phone (770) 554-2999

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@neurobehavior.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060911000129 GA Practitioner - Psychiatry 8729082516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuro Behavioral Health Associates, LLCGroup PAC ID 5890839658, 3 clinicians

Practice addresses (Care Compare)

250 Scenic Hwy
Lawrenceville, GA 30046-5675
Phone (678) 442-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
057725GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Region One Mental Health Center Past Accepting new patients
Uhs of Summitridge, LLC Past Accepting new patients
Creative Life Center, LLC Psychiatry PastSince Oct 21, 2019 Accepting new patients
Salveo Integrative Health Psychiatry PastSince Jul 24, 2022 Accepting new patients
Psychiatric Services of America Psychiatry PastSince Jul 24, 2022 Accepting new patients
Region VI Community Mental Health Commission PastSince Jun 30, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mehmood.mehdi@advantage.gadirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1922017987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 ATHENS HWY STE 1800",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528293",
            "telephone_number": "770-554-2999",
            "fax_number": "770-679-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 ATHENS HWY STE 1800",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528293",
            "telephone_number": "770-554-2999",
            "fax_number": "770-679-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHDI",
        "first_name": "MEHMOOD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "057725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@neurobehavior.net",
            "affiliation": "N",
            "address_1": "367 Athens Hwy Ste 1800",
            "city": "Loganville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300528293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Loganville, GA

Sources for this page

Verify at the official NPI Registry.