| Psychiatric Professionals of Georgia, LLC | |
|
1325 Satellite Blvd Nw Bldg 400 Suwanee GA 30024-4651 | |
| (678) 263-3080 | |
| (678) 496-9863 |
| Full Name | Psychiatric Professionals of Georgia, LLC |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1325 Satellite Blvd Nw Bldg 400, Suwanee, Georgia |
| Authorized Official Name and Position | Kaley Davis (PROVIDER ENROLLMENT ASSOCIATE) |
| Authorized Official Contact | 4708574412 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Professionals of Georgia, LLC 1325 Satellite Blvd Nw Bldg 400 Suwanee GA 30024-4651 Ph: (678) 263-3080 | Psychiatric Professionals of Georgia, LLC 1325 Satellite Blvd Nw Bldg 400 Suwanee GA 30024-4651 Ph: (678) 263-3080 |
| NPI Number | 1396277968 |
|---|---|
| Provider Enumeration Date | 04/01/2017 |
| Last Update Date | 09/08/2026 |
| Certification Date | 09/08/2026 |
| Medicare PECOS PAC ID | 2567731482 |
|---|---|
| Medicare Enrollment ID | O20170710001727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396277968 | NPI | - | NPPES |
| Provider Name | Benjamin C Akosa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255427225 PECOS PAC ID: 3779517255 Enrollment ID: I20050923000522 |
| Provider Name | Amelia Mathew |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376562488 PECOS PAC ID: 4183629272 Enrollment ID: I20060925000016 |
| Provider Name | Felisha Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740349588 PECOS PAC ID: 6002818242 Enrollment ID: I20070201000097 |
| Provider Name | Ana R. Segarra-brechtel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952596157 PECOS PAC ID: 5496820839 Enrollment ID: I20080819000524 |
| Provider Name | Heerain Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134346828 PECOS PAC ID: 8123116399 Enrollment ID: I20100715000195 |
| Provider Name | Mahendra R Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326122367 PECOS PAC ID: 0840375721 Enrollment ID: I20101115001043 |
| Provider Name | Manuel Mota Castillo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003867698 PECOS PAC ID: 9133179567 Enrollment ID: I20101208000975 |
| Provider Name | Neesha a Desai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285838516 PECOS PAC ID: 4880877208 Enrollment ID: I20110323000222 |
| Provider Name | Mauree H Whitaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619262946 PECOS PAC ID: 0547448896 Enrollment ID: I20110711000162 |
| Provider Name | Shashank K Jha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174800072 PECOS PAC ID: 7719153360 Enrollment ID: I20120131000672 |
| Provider Name | Vinay Nagaraj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952585424 PECOS PAC ID: 8921159872 Enrollment ID: I20120921000560 |
| Provider Name | Parul Dev |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962610634 PECOS PAC ID: 9931275229 Enrollment ID: I20130611000776 |
| Provider Name | Julia J Waller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588964795 PECOS PAC ID: 2365684925 Enrollment ID: I20130809000524 |
| Provider Name | Michael K Frech |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093076374 PECOS PAC ID: 6901032929 Enrollment ID: I20131122000386 |
| Provider Name | Jessica Brown Weinstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538571369 PECOS PAC ID: 0345460440 Enrollment ID: I20141010002078 |
| Provider Name | Marly a Santana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699171140 PECOS PAC ID: 1759604390 Enrollment ID: I20150106001862 |
| Provider Name | Monique Mcgee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104284389 PECOS PAC ID: 2860797792 Enrollment ID: I20160301001904 |
| Provider Name | Nicole James |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952519027 PECOS PAC ID: 0749586238 Enrollment ID: I20160309001463 |
| Provider Name | Kirsten Anderson Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851826739 PECOS PAC ID: 3274885934 Enrollment ID: I20181008000791 |
| Provider Name | Phuong-tuyen Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437781077 PECOS PAC ID: 0840611513 Enrollment ID: I20200604001506 |
| 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 | Mia Eloisa Mison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548532203 PECOS PAC ID: 8921419524 Enrollment ID: I20201203002122 |
| Provider Name | Mallory Margaret Drake |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366044844 PECOS PAC ID: 3779995006 Enrollment ID: I20201210001261 |
| Provider Name | Tricia Rumble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477117919 PECOS PAC ID: 3072845262 Enrollment ID: I20210212002188 |
| Provider Name | Jeremy Michael Palmer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194305706 PECOS PAC ID: 0446668164 Enrollment ID: I20210419002292 |
| Provider Name | Ifeoma Osijo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831735513 PECOS PAC ID: 6507269321 Enrollment ID: I20210730000666 |
| Provider Name | Kiana Rosella Burgess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114539764 PECOS PAC ID: 3577959949 Enrollment ID: I20220412000896 |
| Provider Name | Kimberly C Drummond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043970650 PECOS PAC ID: 0244610939 Enrollment ID: I20220712002833 |
| Provider Name | Shahnaz Mulla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013546662 PECOS PAC ID: 2860864113 Enrollment ID: I20230214002104 |
| Provider Name | Aminata Barrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053035725 PECOS PAC ID: 1052786928 Enrollment ID: I20230406000138 |
| Provider Name | Ashlee Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306588611 PECOS PAC ID: 8224403928 Enrollment ID: I20230414000871 |
| Provider Name | Kahari J Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609583152 PECOS PAC ID: 4587023957 Enrollment ID: I20230703000486 |
| Provider Name | Melonie Grace Singleton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679124390 PECOS PAC ID: 7315307584 Enrollment ID: I20230719002781 |
| Provider Name | Tia Chay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477233260 PECOS PAC ID: 1052768579 Enrollment ID: I20231106001234 |
| Provider Name | Samuel Joshua Dotson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811417041 PECOS PAC ID: 3577836741 Enrollment ID: I20231113001068 |
| Provider Name | Elizabeth L Segars |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235903618 PECOS PAC ID: 6002264967 Enrollment ID: I20231204000198 |
| Provider Name | Bipinchandra Hirisave Krishna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386854651 PECOS PAC ID: 6608043203 Enrollment ID: I20231229000856 |
| Provider Name | Tammy Luke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427759067 PECOS PAC ID: 3678925195 Enrollment ID: I20240122000094 |
| Provider Name | Alexandria Hodges |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134602568 PECOS PAC ID: 2365885522 Enrollment ID: I20240205004287 |
| Provider Name | Aiden Ross Brummett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588376842 PECOS PAC ID: 4183062771 Enrollment ID: I20240402000864 |
| Provider Name | Jennifer Hall Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619594520 PECOS PAC ID: 7911348552 Enrollment ID: I20240514000330 |
| Provider Name | Valerie Spain Daniel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598524613 PECOS PAC ID: 3870035660 Enrollment ID: I20240607002543 |
| Provider Name | Brenda Brunston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245984210 PECOS PAC ID: 8729520259 Enrollment ID: I20240611004150 |
| Provider Name | Sharla Burrell-stroud |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851877138 PECOS PAC ID: 3678016854 Enrollment ID: I20240617000151 |
| Provider Name | Tam Cao |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205581394 PECOS PAC ID: 6608245477 Enrollment ID: I20240705001858 |
| Provider Name | Chanee Simpson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396496956 PECOS PAC ID: 1052857745 Enrollment ID: I20240717005114 |
| Provider Name | Kares Clarke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437550910 PECOS PAC ID: 1658817309 Enrollment ID: I20240718002073 |
| Provider Name | Courtney Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174251573 PECOS PAC ID: 8325584998 Enrollment ID: I20240719002010 |
| Provider Name | Stephen Matthew Brogdon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275702136 PECOS PAC ID: 0345411401 Enrollment ID: I20240812000433 |
| Provider Name | Omosede Jemimah Nosa-oviasu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962083634 PECOS PAC ID: 0749714178 Enrollment ID: I20241107003468 |
| Provider Name | Annamarie S Paulsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285766055 PECOS PAC ID: 4284160466 Enrollment ID: I20241211002087 |
| Provider Name | Eka Ini Omowa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417611898 PECOS PAC ID: 8224564281 Enrollment ID: I20241213001658 |
| Provider Name | Danielle Vann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518577550 PECOS PAC ID: 2769910108 Enrollment ID: I20250113001728 |
| Provider Name | Laura Angley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538740022 PECOS PAC ID: 2466980511 Enrollment ID: I20250116002967 |
| Provider Name | Katherine a Mckee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043030281 PECOS PAC ID: 4587193339 Enrollment ID: I20250124000045 |
| Provider Name | Carol Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053998666 PECOS PAC ID: 1951831924 Enrollment ID: I20250205002832 |
| Provider Name | Darshana Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205643608 PECOS PAC ID: 3779004494 Enrollment ID: I20250310002826 |
| Provider Name | Shaughn Reyenga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831976984 PECOS PAC ID: 3577086602 Enrollment ID: I20250331001135 |
| Provider Name | Latoya Tamika Laguerre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861133415 PECOS PAC ID: 4284150764 Enrollment ID: I20250428002855 |
| Provider Name | Victoria Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174312573 PECOS PAC ID: 3678091550 Enrollment ID: I20250514002754 |
| Provider Name | Whitney Poppell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053183756 PECOS PAC ID: 3870004179 Enrollment ID: I20250613002892 |
| Provider Name | Christina Nicole Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003531229 PECOS PAC ID: 0345751210 Enrollment ID: I20250617003159 |
| Provider Name | Allison Dye Andreson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841862570 PECOS PAC ID: 9335650209 Enrollment ID: I20250617003191 |
| Provider Name | Kathryn Germain Stanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801587225 PECOS PAC ID: 5698286417 Enrollment ID: I20250618000040 |
| Provider Name | Susan Louise Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467047639 PECOS PAC ID: 6002327848 Enrollment ID: I20250618000291 |
| Provider Name | Jennifer Elizabeth Weyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770340135 PECOS PAC ID: 9436660008 Enrollment ID: I20250619001929 |
| Provider Name | Jordan Stumph |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699335513 PECOS PAC ID: 4486980489 Enrollment ID: I20250623003388 |
| Provider Name | Jose Quezada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487411195 PECOS PAC ID: 4082126206 Enrollment ID: I20250624002125 |
| Provider Name | Mona Gordon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790134674 PECOS PAC ID: 7214449214 Enrollment ID: I20250625001854 |
| Provider Name | Veronica Wangui Ndegwa-gibbons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487897112 PECOS PAC ID: 6204348154 Enrollment ID: I20250625002753 |
| Provider Name | Izabella Matatova |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306593751 PECOS PAC ID: 9234641093 Enrollment ID: I20250626000598 |
| Provider Name | Kinsey Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003397621 PECOS PAC ID: 1456864156 Enrollment ID: I20250626003415 |
| Provider Name | Monte Glenn Kuykendall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871735506 PECOS PAC ID: 4688187388 Enrollment ID: I20250626003536 |
| Provider Name | Bradley Mosher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164013868 PECOS PAC ID: 8325551047 Enrollment ID: I20250626003710 |
| Provider Name | Joel H Gibson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619345741 PECOS PAC ID: 5395258032 Enrollment ID: I20250626004145 |
| Provider Name | Alhana Khobeir |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487332433 PECOS PAC ID: 5294248936 Enrollment ID: I20250626004192 |
| Provider Name | Mattie Mitchell Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164143152 PECOS PAC ID: 0648783787 Enrollment ID: I20250701003372 |
| Provider Name | Allen Sinclair Young |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346564416 PECOS PAC ID: 7618480765 Enrollment ID: I20250701003457 |
| Provider Name | Raschelle Lynn Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154190304 PECOS PAC ID: 8123531282 Enrollment ID: I20250701003729 |
| Provider Name | Stephen Michael Scanlan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144093774 PECOS PAC ID: 6002329885 Enrollment ID: I20250703001656 |
| Provider Name | Tonee Rebecka Sumlin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881277325 PECOS PAC ID: 2365835568 Enrollment ID: I20250711001380 |
| Provider Name | Christal Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851792535 PECOS PAC ID: 2668988445 Enrollment ID: I20250718002617 |
| Provider Name | Afua Ataa Sampson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851153050 PECOS PAC ID: 8426564188 Enrollment ID: I20250721000018 |
| Provider Name | Kovita Sanjay Bhasin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134853427 PECOS PAC ID: 2365958907 Enrollment ID: I20250722000207 |
| Provider Name | Elizabeth Gregory |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346822889 PECOS PAC ID: 5193231405 Enrollment ID: I20250723001728 |
| Provider Name | Latinna Collins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710795166 PECOS PAC ID: 4981110103 Enrollment ID: I20250723001920 |
| Provider Name | Hailey Hooper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730861428 PECOS PAC ID: 0941716054 Enrollment ID: I20250723004121 |
| Provider Name | Jasmine Celeste Price |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003652397 PECOS PAC ID: 3274040282 Enrollment ID: I20250725000453 |
| Provider Name | Thomas Watson Bass |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457671430 PECOS PAC ID: 4880192103 Enrollment ID: I20250807000332 |
| Provider Name | Alicia Darlene Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639421407 PECOS PAC ID: 1052809720 Enrollment ID: I20251023003696 |
| Provider Name | Kaitlyn Rosumny |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003795394 PECOS PAC ID: 4880185750 Enrollment ID: I20251118004647 |
| Provider Name | Brock Hollett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528475324 PECOS PAC ID: 9335433952 Enrollment ID: I20251210002329 |
| Provider Name | Nisha Bhat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184299828 PECOS PAC ID: 7517366297 Enrollment ID: I20251210003310 |
| Provider Name | Juliana Beem Eastham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760349120 PECOS PAC ID: 5890274187 Enrollment ID: I20260206002722 |
| Provider Name | Sher Tucker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629567565 PECOS PAC ID: 1658628193 Enrollment ID: I20260305000547 |
| Provider Name | Shenia Everett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730928045 PECOS PAC ID: 9436626819 Enrollment ID: I20260422002693 |
| Provider Name | Jamie Nicole Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770352262 PECOS PAC ID: 3274000377 Enrollment ID: I20260427001221 |
| Provider Name | Viktoriya Donovan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780325522 PECOS PAC ID: 6204309065 Enrollment ID: I20260623003361 |
| Provider Name | Sonali Ponkshe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619606084 PECOS PAC ID: 8921489568 Enrollment ID: I20260626002975 |
Building Intimate Marriages, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Satellite Blvd Nw, Suite 1002, Suwanee, GA 30024 Phone: 770-822-4505 |
Applied Behavioral Approaches Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2930 Horizon Park Dr Ste D, Suwanee, GA 30024 Phone: 770-462-8550 Fax: 470-322-4355 |
Billy Adams, LPC, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2910 Horizon Park Dr Ste A, Suwanee, GA 30024 Phone: 770-271-8989 |
Lauren Greenway LPC LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3465 Lawrenceville Suwanee Rd, Suite A, Suwanee, GA 30024 Phone: 478-731-6146 |
Atlantic Advanced Spine & Neurology Institute Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3925 Johns Creek Ct Ste C2, Suwanee, GA 30024 Phone: 470-268-6980 Fax: 888-815-1765 |
Best Behavior Solutions LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 Sugarberry Ln, Suwanee, GA 30024 Phone: 470-239-0606 Fax: 470-906-0392 |