Active NPI
Villa Rica Behavioral Health PC
- Child & Adolescent Psychiatry Physician
- Villa Rica, GA
National Provider Identifier
1982935052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- Legal business name
- VILLA RICA BEHAVIORAL HEALTH PC
- Practice address
- 514 W Bankhead Hwy
Suite 400
Villa Rica, GA 30180-1736 - Phone
- (770) 456-2788
- Fax
- (770) 456-2789
- NPI assigned
- Jan 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George W. Bailey, M.D.
- Title
- Physician/Owner
- Phone
- (770) 456-2788
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | Primary |
Addresses
Primary practice location
514 W Bankhead Hwy
Suite 400
Villa Rica, GA 30180-1736
Mailing address
514 W Bankhead Hwy
Suite 400
Villa Rica, GA 30180-1736
Phone (770) 456-2788
National Provider Directory
National Provider DirectoryLocations
514 W Bankhead Hwy
Ste 400
Villa Rica, GA 30180
Phone (770) 456-2788
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Villa Rica, GA
- NPI 1245274034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264636800000",
"number": "1982935052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 W BANKHEAD HWY",
"address_2": "SUITE 400",
"city": "VILLA RICA",
"state": "GA",
"postal_code": "301801736",
"telephone_number": "770-456-2788",
"fax_number": "770-456-2789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 W BANKHEAD HWY",
"address_2": "SUITE 400",
"city": "VILLA RICA",
"state": "GA",
"postal_code": "301801736",
"telephone_number": "770-456-2788",
"fax_number": "770-456-2789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLA RICA BEHAVIORAL HEALTH PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-28",
"last_updated": "2010-01-28",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "770-456-2788",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Villa Rica, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.