Individual provider Active NPI

Cynthia Lee Gillikin, M.D. PH.D.

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1922399203
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
70116 Issued in GA
Practice address
8800 Roswell Rd
Suite a-135
Atlanta, GA 30350-1826
Phone
(404) 682-1923
Fax
(617) 326-3783
NPI assigned
Apr 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 70116 GA Primary

Addresses

Primary practice location

8800 Roswell Rd
Suite a-135
Atlanta, GA 30350-1826

Mailing address

8800 Roswell Rd
Suite a-135
Atlanta, GA 30350-1826
Phone (404) 682-1923

Other practice location 1

445 Winn Way
Decatur, GA 30030-1707
Phone (404) 508-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160222000516 GA Practitioner - Psychiatry 4688979164 Reassigns benefits to 2 organizations
I20240801001568 NC Practitioner - PsychiatryPractitioner - Neurology 4688979164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Miami, LM Miller School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thriving LaneGroup PAC ID 1355741083, 24 clinicians

Practice addresses (Care Compare)

2801 Buford Hwy NE
Suite T10
Atlanta, GA 30329-2149
Phone (347) 830-7720

4801 Glenwood Ave
Suite 200
Raleigh, NC 27612-3857
Phone (347) 830-7720

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70116GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jan 14, 2016 Accepting new patients
Thriving Lane Psychiatry CurrentSince Sep 1, 2023 Accepting new patients
Dekalb Community Service Board CurrentSince Jan 22, 2018 Accepting new patients

Locations

200 2nd Ave S
St Petersburg, FL 33701
Phone (727) 465-8515

2801 Buford Hwy NE
Ste T10
Brookhaven, GA 30329
Phone (404) 397-8302

440 Winn Way
Decatur, GA 30030
Phone (404) 294-3700

445 Winn Way
Decatur, GA 30030
Phone (404) 294-3745

8800 Roswell Rd
Ste 255
Sandy Springs, GA 30350
Phone (617) 395-5806

8800 Roswell Rd
Ste A135
Sandy Springs, GA 30350
Phone (617) 395-5806

4801 Glenwood Ave
Ste 200
Raleigh, NC 27612
Phone (757) 866-2715

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 3

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": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1922399203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 ROSWELL RD",
            "address_2": "SUITE A-135",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303501826",
            "telephone_number": "404-682-1923",
            "fax_number": "617-326-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 ROSWELL RD",
            "address_2": "SUITE A-135",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303501826",
            "telephone_number": "404-682-1923",
            "fax_number": "617-326-3783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 Winn Way",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300301707",
            "country_code": "US",
            "telephone_number": "404-508-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLIKIN",
        "first_name": "CYNTHIA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D. PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "70116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.