| 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 | (* (Not Available)) | Primary |
| Provider Name | Jaymal R. Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962433599 PECOS PAC ID: 3779474010 Enrollment ID: I20040324000650 |
| 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 | Jithender Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114955457 PECOS PAC ID: 4284605593 Enrollment ID: I20101103000997 |
| Provider Name | Srinivas Kolipaka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831381433 PECOS PAC ID: 0941326789 Enrollment ID: I20140114001232 |
| Provider Name | Melissa Catherine Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750512521 PECOS PAC ID: 4587894373 Enrollment ID: I20140221001375 |
| 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 | Alisha Goodrum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275945909 PECOS PAC ID: 6901023274 Enrollment ID: I20181005002873 |
| 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 | Vethilla Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851956791 PECOS PAC ID: 0042543548 Enrollment ID: I20190617001108 |
| Provider Name | Camilo Leal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306257126 PECOS PAC ID: 4082833983 Enrollment ID: I20190812002294 |
| Provider Name | Oluseun Ofuje Ajayi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1114389178 PECOS PAC ID: 5193011591 Enrollment ID: I20190904001043 |
| Provider Name | Ahmad Umair Janjua |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588027973 PECOS PAC ID: 4880942333 Enrollment ID: I20190904001190 |
| Provider Name | Amitha Lauren Dhingra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962899500 PECOS PAC ID: 0244569820 Enrollment ID: I20190906001446 |
| Provider Name | Avjola Hoxha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174934384 PECOS PAC ID: 4385860865 Enrollment ID: I20191003003053 |
| Provider Name | Swathi Krishna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427492131 PECOS PAC ID: 1951698752 Enrollment ID: I20191008000482 |
| 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 | Michael Steven Lowley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063894418 PECOS PAC ID: 9638596653 Enrollment ID: I20200903003767 |
| Provider Name | Gaby Ritfeld |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366896078 PECOS PAC ID: 1557655768 Enrollment ID: I20200909003099 |
| 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 | Patricia Anne Fleischman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366141863 PECOS PAC ID: 5193199107 Enrollment ID: I20230314002245 |
| 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 | Esther Joseph-pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346937802 PECOS PAC ID: 0244696938 Enrollment ID: I20230523001499 |
| Provider Name | Matthew Robert Dernbach |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912566316 PECOS PAC ID: 7012248164 Enrollment ID: I20230830004225 |
| 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 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 | Laura B Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841079613 PECOS PAC ID: 1557707551 Enrollment ID: I20240313001222 |
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: Not Enrolled in Medicare Practice Location: 101 Quartz Dr Ste 103a, Villa Rica, GA 30180 Phone: 770-456-3266 | |
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 | |
2 Vets Counseling & Wellness, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 106 Cross Creek Ct, Villa Rica, GA 30180 Phone: 256-688-0800 Fax: 256-688-0860 | |
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 | |
The Neuropsychiatric Clinic Of Atlantis-villa Rica, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 690 Dallas Hwy Ste 201, Villa Rica, GA 30180 Phone: 678-840-8446 | |
Expressyourself Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 E Montgomery St, Villa Rica, GA 30180 Phone: 404-725-4861 Fax: 770-995-1959 |