Psychiatric Professionals of Georgia, LLC
NPI 1396277968ActiveOrganization· Psychiatry & Neurology, Psychiatry· Suwanee, GA
Psychiatry & Neurology, Psychiatry in Suwanee, Georgia, registered in NPPES in April 2017. The authorized official on file is Kaley Davis, Provider Enrollment Associate. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1396277968 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 1, 2017 |
| Last updated in NPPES | Oct 23, 2026 |
| Certified by provider | Oct 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | 55563 | GA |
| Psychiatry & Neurology, Addiction Medicine | 2084A0401X | 58297 | GA |
| Psychiatry & Neurology, Child & Adolescent Psychiatry | 2084P0804X | 59016 | GA |
| Psychiatry & Neurology, Child & Adolescent Psychiatry | 2084P0804X | 060325 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
Other Psychiatry & Neurology, Psychiatry providers in Suwanee
- 1659313195
- 1033013008
- 1811413305
- 1083958078
- 1255427225
- 1528000197
- 1346822889
- 1386854651
- 1083108898
- 1548670144
- 1952596157
- 1407809122
All Psychiatry & Neurology, Psychiatry providers in Georgia →