Organization Active NPI

Villa Rica Behavioral Health PC

  • Child & Adolescent Psychiatry Physician
  • Villa Rica, GA
National Provider Identifier
1982935052
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
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

Updated by the provider on Jan 28, 2010

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

Authorized official

Name
George W. Bailey, M.D.NPI 1245274034
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)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.