GEORGIA BEHAVIORAL WELLNESS CENTER LLC (NPI# 1376915280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376915280 |
| Entity Type | Organization |
| Organization Name | GEORGIA BEHAVIORAL WELLNESS CENTER LLC |
| Practice Address |
2511 Highway 34 E Newnan GA 30265-2309 |
| Mailing Address |
5175 Falcon Chase Ln Atlanta GA 30342-2155 |
| Practice Telephone | 6783696910 |
| Mailing Telephone | 7705482589 |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |
| Authorized Official Name | ASHLEY TAGTACHIAN (CEO) |
| Authorized Official Telephone | 7705482589 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
2511 HIGHWAY 34 E |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124116983 | Bryan David Price | Specialist | 2511 Highway 34 E, Suite C, Newnan, GA 30265-1329 | 2006-10-10 |
| 1437644762 | Trebble Health Care Services Inc. | Family Medicine | 2511 Highway 34 E, Suite B, Newnan, GA 30265 | 2018-06-28 |
| 1811422439 | Kwik Kare of Georgia, Inc. | Clinic/Center | 2511 Highway 34 E, Suite C, Newnan, GA 30265-2309 | 2017-04-21 |
| 1326444951 | Georgia Behavioral Health Professionals | Counselor | 2511 Highway 34 E, Suite C, Newnan, GA 30265-2309 | 2014-11-10 |
| 1639416225 | Billie Lynn Anderson | Counselor | 2511 Highway 34 E, Suite C, Newnan, GA 30265-2309 | 2013-01-16 |
| 1760646053 | Ferman Family Dentistry PC | Dentist | 2511 Highway 34 E, Newnan, GA 30265-2309 | 2008-07-15 |
| 1730243510 | Thomas Crossroads Dental Center Inc. | Clinic/Center | 2511 Highway 34 E, Newnan, GA 30265-1329 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1275839797 | Dr. Nice Psychiatry LLC | Psychiatry & Neurology | 1933 Highway 34 E, Newnan, GA 30265-1327 | 2011-01-31 |
| 1821657800 | Kelley Dawn Jenkins | Psychiatry & Neurology | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 | 2019-06-12 |
| 1467558619 | Patricia G Jones-nice | Psychiatry & Neurology | 10 E Washington St, Newnan, GA 30263-1925 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021390 | Psychemic | Psychiatry & Neurology | 125 Clairemont Ave Ste 205, Decatur, GA 30030-2558 | 2020-10-19 |
| 1962010975 | Beatrice Nduwimana | Psychiatry & Neurology | 3499 Henley St, Rex, GA 30273-1758 | 2020-07-15 |
| 1881219145 | Mandeep Singh | Psychiatry & Neurology | 1103 15th St, Augusta, GA 30901-3111 | 2020-06-12 |
| 1427673797 | Amanda Seamon | Psychiatry & Neurology | 997 Saint Sebastian Way # Eg2003, Augusta, GA 30912-2613 | 2020-06-12 |
| 1861016537 | Behavioral Health Professionals of Lagrange, LLC | Psychiatry & Neurology | 145 Maple Trce, Pine Mountain, GA 31822-2826 | 2020-05-29 |
| 1538796073 | Relax Medicine, LLC | Psychiatry & Neurology | 950 Herrington Rd Ste C215, Lawrenceville, GA 30044-7217 | 2020-03-25 |
| 1841826856 | Lakisha Denise Hunt | Psychiatry & Neurology | 1316 Montego Ct, Albany, GA 31705-8015 | 2020-03-21 |
| 1992330492 | Oluwafunmilola Olusola Sulaimon | Psychiatry & Neurology | 6274 Baltusrol Trce, Fairburn, GA 30213-5122 | 2020-03-05 |
| 1285264770 | Holistic Family Psychiatry | Psychiatry & Neurology | 1535 Mount Vernon Rd Ste 100-a, Atlanta, GA 30338-4149 | 2020-01-23 |
| 1255988978 | Life Health and Rehab, LLC | Psychiatry & Neurology | 1637 Athens Hwy Ste A, Grayson, GA 30017-1768 | 2019-08-19 |
| 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.