Psychiatry Associates of Georgia PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

52570 Issued in GA

Legal business name

PSYCHIATRY ASSOCIATES OF GEORGIA PC

Practice address

130 Eagle Spring CT
Suite 100a
Stockbridge, GA 30281-7274

Phone

(678) 284-0133

Fax

(678) 284-6393

NPI assigned

Jan 15, 2009

Organization subpart

No

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

Authorized official

Name

Brij B GulatiNPI 1609843036

Title

MD/Vice President

Phone

(678) 284-0133

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Brij B Gulati, MD

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1609843036
  NPD (past) Authorized official

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1992942759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870972",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300870025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 EAGLE SPRING CT",
            "address_2": "SUITE 100A",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817274",
            "telephone_number": "678-284-0133",
            "fax_number": "678-284-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRY ASSOCIATES OF GEORGIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "GULATI",
        "authorized_official_first_name": "BRIJ",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MD/VICE PRESIDENT",
        "authorized_official_telephone_number": "678-284-0133"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "52570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241352090C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.