| Behavioral Health of West Georgia | |
|
101 Quartz Dr Ste 103b Villa Rica GA 30180-3201 | |
| (770) 812-3530 | |
| (770) 812-3531 |
| Full Name | Behavioral Health of West Georgia |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 101 Quartz Dr Ste 103b, Villa Rica, Georgia |
| Authorized Official Name and Position | Jillian Ragsdale (VP OF FINANCE) |
| Authorized Official Contact | 7708388710 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health of West Georgia 100 Greenway Blvd Fl 2 Carrollton GA 30117-4338 Ph: (770) 838-8710 | Behavioral Health of West Georgia 101 Quartz Dr Ste 103b Villa Rica GA 30180-3201 Ph: (770) 812-3530 |
| NPI Number | 1356795462 |
|---|---|
| Provider Enumeration Date | 04/15/2016 |
| Last Update Date | 02/29/2024 |
| Certification Date | 02/29/2024 |
| Medicare PECOS PAC ID | 2163714635 |
|---|---|
| Medicare Enrollment ID | O20160705000347 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356795462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | () | Primary |
| Provider Name | Nizamuddin Khaja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295764009 PECOS PAC ID: 4587554605 Enrollment ID: I20050217000659 |
| Provider Name | Sasikanth Doddapaneni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114940095 PECOS PAC ID: 0345135885 Enrollment ID: I20060828000221 |
| Provider Name | Golden Barnett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679530430 PECOS PAC ID: 0042215485 Enrollment ID: I20060919000144 |
| Provider Name | William Schneider |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023273109 PECOS PAC ID: 3870651144 Enrollment ID: I20081015000627 |
| Provider Name | Kimberly Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275963001 PECOS PAC ID: 7719118918 Enrollment ID: I20140402000581 |
| Provider Name | Roxanne Claire Mcmorris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811255920 PECOS PAC ID: 6002190766 Enrollment ID: I20171207002588 |
| Provider Name | Christopher Scott Randolph |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669455606 PECOS PAC ID: 4880637255 Enrollment ID: I20180621002348 |
| Provider Name | Tabitha Wanjiku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699130500 PECOS PAC ID: 5890039234 Enrollment ID: I20181211003792 |
| Provider Name | Stephanie Christine Sky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235603002 PECOS PAC ID: 1355681057 Enrollment ID: I20190315001114 |
| Provider Name | Sarah Joann Matheka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184180069 PECOS PAC ID: 7012259138 Enrollment ID: I20190419000652 |
| Provider Name | Camilo Leal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306257126 PECOS PAC ID: 4082833983 Enrollment ID: I20190812002294 |
| Provider Name | Kayla England |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770124794 PECOS PAC ID: 6608208145 Enrollment ID: I20191121000783 |
| Provider Name | John Charles Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871140798 PECOS PAC ID: 4385077486 Enrollment ID: I20191203002836 |
| Provider Name | Thomas Stuckey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083189328 PECOS PAC ID: 6406281476 Enrollment ID: I20200122000078 |
| Provider Name | Clara Chinyeaka Ugwuibe-ogunseye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578837969 PECOS PAC ID: 7214366327 Enrollment ID: I20200410000022 |
| Provider Name | Phuongtam Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053765057 PECOS PAC ID: 0244527851 Enrollment ID: I20200708003328 |
| Provider Name | Heather M Ford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720369234 PECOS PAC ID: 3476861311 Enrollment ID: I20200803002531 |
| Provider Name | Emily Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558955435 PECOS PAC ID: 5193132132 Enrollment ID: I20210318001714 |
| Provider Name | Yesha Mukesh Thakkar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275066565 PECOS PAC ID: 9133520331 Enrollment ID: I20210625000480 |
| Provider Name | Shannon Rice Herring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972198554 PECOS PAC ID: 5890183289 Enrollment ID: I20211104001664 |
| Provider Name | Benita N Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649931361 PECOS PAC ID: 4183016272 Enrollment ID: I20220124000392 |
| Provider Name | Shana Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467106302 PECOS PAC ID: 9133513781 Enrollment ID: I20220225000514 |
| Provider Name | Purity Rita Upson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720727233 PECOS PAC ID: 7517348949 Enrollment ID: I20220718001010 |
| Provider Name | Olasupo Adedapo-jimoh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487017349 PECOS PAC ID: 8820384175 Enrollment ID: I20230413002205 |
| Provider Name | Judith Nazaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538862404 PECOS PAC ID: 1951776251 Enrollment ID: I20230418001355 |
| Provider Name | Idris Buke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801582481 PECOS PAC ID: 9234594292 Enrollment ID: I20230426000401 |
| Provider Name | Macy Dennis Preston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891482790 PECOS PAC ID: 0941665483 Enrollment ID: I20230505000262 |
| Provider Name | Esther Joseph-pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346937802 PECOS PAC ID: 0244696938 Enrollment ID: I20230523001499 |
| Provider Name | Taylor Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578227658 PECOS PAC ID: 3678962875 Enrollment ID: I20231005002413 |
| Provider Name | Malikata Nicolette Dano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700506144 PECOS PAC ID: 4183074610 Enrollment ID: I20231227000219 |
| Provider Name | Darron R Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649767658 PECOS PAC ID: 6406181452 Enrollment ID: I20240116003391 |
| Provider Name | Kanakadurga Meyyazhagan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083058499 PECOS PAC ID: 6507152915 Enrollment ID: I20240118002886 |
| Provider Name | Yonas Teferra Tamene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679097893 PECOS PAC ID: 2365709805 Enrollment ID: I20240306003856 |
| Provider Name | Laura B Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841079613 PECOS PAC ID: 1557707551 Enrollment ID: I20240313001222 |
| Provider Name | Julie Dowdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528829827 PECOS PAC ID: 8921444829 Enrollment ID: I20240314000731 |
| Provider Name | Willie Lithgow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912761180 PECOS PAC ID: 8921533670 Enrollment ID: I20241119001257 |
| Provider Name | Ann Frederick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245685064 PECOS PAC ID: 0547553109 Enrollment ID: I20250114001084 |
| Provider Name | Barbara Patterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982360954 PECOS PAC ID: 3779011994 Enrollment ID: I20250115001338 |
| Provider Name | William Edward Spencer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790391134 PECOS PAC ID: 8022547231 Enrollment ID: I20250131002478 |
| Provider Name | Nicole T. Denman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164676789 PECOS PAC ID: 6103356373 Enrollment ID: I20250204002001 |
| Provider Name | Matthew Bestic |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548758824 PECOS PAC ID: 0042740656 Enrollment ID: I20250212001588 |
| Provider Name | John Kamau Kiarie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144031220 PECOS PAC ID: 4587184106 Enrollment ID: I20250225003571 |
| Provider Name | Anson Nicolas Chin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033911136 PECOS PAC ID: 6608390380 Enrollment ID: I20250403003790 |
| Provider Name | Rachel Evans |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215737887 PECOS PAC ID: 1951820158 Enrollment ID: I20250521001010 |
| Provider Name | Crystal Lynnell Porter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700606134 PECOS PAC ID: 8022524024 Enrollment ID: I20250717003072 |
| Provider Name | Alexis Collier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366021107 PECOS PAC ID: 0840697595 Enrollment ID: I20250728002784 |
| Provider Name | Patrick Henderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386011518 PECOS PAC ID: 0941708358 Enrollment ID: I20250813003075 |
| Provider Name | Jacqueline Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144116419 PECOS PAC ID: 0941708325 Enrollment ID: I20250814000208 |
| Provider Name | Stephanie Hardeman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194066084 PECOS PAC ID: 8921521295 Enrollment ID: I20250815002699 |
| Provider Name | John Brian Gibson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174151138 PECOS PAC ID: 2961901012 Enrollment ID: I20250815004366 |
| Provider Name | Aliceia Lyles-edwards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962178509 PECOS PAC ID: 7618476540 Enrollment ID: I20250818003712 |
| Provider Name | Kenya Adrian Patterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043450703 PECOS PAC ID: 1052811445 Enrollment ID: I20250820004690 |
| Provider Name | Victoria Tigner Reaves |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730310616 PECOS PAC ID: 9436659877 Enrollment ID: I20250821000943 |
| Provider Name | Sherry C Simpson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679732713 PECOS PAC ID: 7315447018 Enrollment ID: I20250826003793 |
| Provider Name | Delanie Morgan Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679456131 PECOS PAC ID: 4183127988 Enrollment ID: I20250909003426 |
| Provider Name | Lauren Hester |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902271240 PECOS PAC ID: 9830693548 Enrollment ID: I20250916004632 |
| Provider Name | Ubi Okim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063233104 PECOS PAC ID: 9436653060 Enrollment ID: I20250917003064 |
| Provider Name | Lindsay Nichole Allred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821881103 PECOS PAC ID: 6305341348 Enrollment ID: I20250922004066 |
| Provider Name | Taylor Ann Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437697398 PECOS PAC ID: 5496251910 Enrollment ID: I20251003000519 |
| Provider Name | Brittany Lilly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124664941 PECOS PAC ID: 8820594252 Enrollment ID: I20251003000929 |
| Provider Name | Alvaro Harico Ordonez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427725332 PECOS PAC ID: 3274022629 Enrollment ID: I20251027004577 |
| Provider Name | Francois Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407478670 PECOS PAC ID: 6709379712 Enrollment ID: I20251208000098 |
| Provider Name | Helena Hoffmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659082022 PECOS PAC ID: 7416422621 Enrollment ID: I20260406002033 |
| Provider Name | Alexandra Reischman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023758059 PECOS PAC ID: 4385112135 Enrollment ID: I20260511000069 |
| Provider Name | Maegan Simpkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285593939 PECOS PAC ID: 8325517162 Enrollment ID: I20260521000081 |
Journeys Counseling Center, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 S Carroll Rd, Villa Rica, GA 30180 Phone: 404-452-3789 |
Tanner Medical Center Villa Rica BH Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 101 Quartz Dr Ste 103a, Villa Rica, GA 30180 Phone: 770-456-3266 |
Emerick Therapy Services, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 231 S Carroll Rd, Villa Rica, GA 30180 Phone: 770-810-5211 |
Willowbrooke at Tanner Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 601 Dallas Hwy, Villa Rica, GA 30180 Phone: 770-456-3000 Fax: 770-456-3390 |
Hope Professional Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 Night Fall Ter, Villa Rica, GA 30180 Phone: 678-978-0464 Fax: 800-616-1875 |
Rebecca Wade Hill LPC, LLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 231 S Carroll Rd, Villa Rica, GA 30180 Phone: 770-241-1065 |