DR. CONSTANTINE ALFRED GALIFIANAKIS (NPI# 1306103858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306103858 |
| Entity Type | Individual |
| Full Name | DR. CONSTANTINE ALFRED GALIFIANAKIS |
| Credential | M.D. |
| Practice Address |
5448 Yorktowne Dr Atlanta GA 30349-5317 |
| Practice Telephone | (877) 345-3301 |
| Mailing Telephone | (877) 345-3301 |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
78624 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2004 Ridgewood Dr Ne, Suite 216, Atlanta, GA 303221031 | 4047275157 |
| Street Address |
5448 YORKTOWNE DR |
| City | ATLANTA |
| State | GA |
| Zip Code | 30349-5317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508892431 | Michael Lee Fishman | Counselor | 5448 Yorktowne Dr, Suite 127, Atlanta, GA 30349-5317 | 2006-06-23 |
| 1912457664 | Talbot Recovery Campus | Community/Behavioral Health | 5448 Yorktowne Dr, Atlanta, GA 30349-5317 | 2016-10-06 |
| 1366459547 | Philip Wilson | Psychiatry & Neurology | 5448 Yorktowne Dr, Atlanta, GA 30349-5317 | 2006-08-01 |
| 1982622247 | John Doyle IIi | Psychiatry & Neurology | 5448 Yorktowne Dr, Atlanta, GA 30349-5317 | 2006-07-17 |
| 1295768992 | Navjyot S Bedi | Psychiatry & Neurology | 5448 Yorktowne Dr, Atlanta, GA 30349-5317 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185686 | Kmb Diagnostics | Durable Medical Equipment & Medical Supplies | 941 Flat Shoals Rd, Atlanta, GA 30349 | 2019-10-09 |
| 1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
| 1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
| 1275002636 | Patriot Healthcare of Georgia, LLC | Family Medicine | 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 | 2018-11-15 |
| 1669971875 | Ee Consulting Solution | Case Management | 6320 Topaz Tral, Arlanta, GA 30349 | 2018-02-03 |
| 1629595640 | Shayla Bouie | Contractor | 5420 Riverdale Rd Apt D17, Atlanta, GA 30349 | 2017-08-30 |
| 1114475563 | Jasmine V Mccully | Social Worker | 5864 Summergien Lane, College Park, GA 30349 | 2016-09-14 |
| 1639537681 | Shelia Thornton | Counselor | 5856 Seabright Lane, Atlanta, GA 30349 | 2016-02-05 |
| 1346610177 | Joanne Resilard | Nurse Practitioner | 2931 Herron Ln Sw, Atlanta, GA 30349 | 2015-10-06 |
| 1063805091 | Southwest Atlanta Medical & Rehabilitation Clinic LLC | Family Medicine | 495 85 Circle, Suite 100, Atlanta, GA 30349 | 2015-03-16 |
| Find all providers in zip 30349 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760517254 | Todd Estroff | Psychiatry & Neurology | 627 Old Ivy Rd Ne, Atlanta, GA 30342-4319 | 2007-02-23 |
| 1861534802 | Joseph Francis Griffin IIi | Psychiatry & Neurology | 1677 East Clifton Rd, Atlanta, GA 30307-1289 | 2007-02-13 |
| 1841672789 | Joseph Emmanuel Mathias | Psychiatry & Neurology | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2015-06-28 |
| 1093067084 | Kambiz Aflatoon Do | Psychiatry & Neurology | 2150 Peachford Rd, Suite A, Atlanta, GA 30338-6520 | 2012-10-15 |
| 1366459547 | Philip Wilson | Psychiatry & Neurology | 5448 Yorktowne Dr, Atlanta, GA 30349-5317 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821393380 | Tifton Addiction Associates, LLC. D/b/a Tlc Clinic | Psychiatry & Neurology | 2402 North Tift Ave Suite 202, Tifton, GA 31794 | 2011-01-14 |
| 1578754503 | Omobolaji Oluseyi Oyebanjo Popoola | Psychiatry & Neurology | 307 Old Stone Rd, Villa Rica, GA 30180-1214 | 2007-08-06 |
| 1346253309 | John L Moseri | Psychiatry & Neurology | 4540 Glenwood Rd, Decatur, GA 30032-5166 | 2006-08-14 |
| 1710997069 | Ayman Mohsen Fareed | Psychiatry & Neurology | 330 Mount Sinai Dr, Dahlonega, GA 30533-2367 | 2006-08-09 |
| 1639112584 | Susan Kaye Blank | Psychiatry & Neurology | 1846 Old Norcross Rd, Suite 100, Lawrenceville, GA 30044-8801 | 2006-06-14 |
| 1194716282 | Ramachandra R Paidi | Psychiatry & Neurology | 106 Queen St, Suite 1a, Vidalia, GA 30474-4210 | 2005-10-29 |
| 1396389185 | Keystone Psychiatric Care LLC | Psychiatry & Neurology | 11030 Jones Bridge Rd Ste 301, Johns Creek, GA 30022-4560 | 2019-11-05 |
| 1164789525 | Aalok Chandora Md LLC | Psychiatry & Neurology | 362 Upper Riverdale Rd Sw, Riverdale, GA 30274-2560 | 2012-04-23 |
| 1598032682 | Kambiz Aflatoon | Psychiatry & Neurology | 250 Scenic Hwy, Lawrenceville, GA 30046-5675 | 2011-11-17 |
| 1508184672 | Sandra Lee Chapkowski | Psychiatry & Neurology | 445 Winn Way, Decatur, GA 30030-1707 | 2010-05-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.