OUTREACH PSYCHIATRIC ASSOCIATES, LLC


Address: 250 Constitution Blvd, Ste 203, Lawrenceville, GA 30046-8432
Phone: 7702652772

OUTREACH PSYCHIATRIC ASSOCIATES, LLC (NPI# 1821386855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821386855
Entity Type Organization
Organization Name OUTREACH PSYCHIATRIC ASSOCIATES, LLC
Practice Address 250 Constitution Blvd
Ste 203
Lawrenceville
GA 30046-8432
Practice Telephone 7702652772
Practice Fax Number 8668767892
Mailing Telephone 7702652772
Mailing Fax Number 8668767892
Enumeration Date 2011-07-12
Last Update Date 2011-07-12
Authorized Official Name TAREN LAZZARI (VICE PRESIDENT)
Authorized Official Telephone 7702652772
Authorized Official Credential APRN, BC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084P0805X Psychiatry & Neurology
Specialization: Geriatric Psychiatry
Allopathic & Osteopathic Physicians
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 250 CONSTITUTION BLVD
STE 203
City LAWRENCEVILLE
State GA
Zip Code 30046-8432

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Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and state

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1558830919 Patriot Healthcare of Georgia, LLC Family Medicine 833 Hairston Road, Stone Mountain, GA 30083 2018-11-15
1275002636 Patriot Healthcare of Georgia, LLC Family Medicine 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 2018-11-15
1215471479 Deana Perkins Family Medicine 756 Arrowhead Lake Rd, Thomaston, GA 30286-5004 2016-12-07
1255731741 Jafar Tabatabai M.d. P.C. Family Medicine 7961 Highway 92 Ste 100, Woodstock, GA 30189-5209 2014-09-03
1457604381 Senior Care Plus Limited Liability Company Family Medicine 990 Peachtree Industrial Blvd Number 4532, Suwanee, GA 30024-5249 2012-10-16
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Competitor

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City LAWRENCEVILLE
Zip Code 30046

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Dataset Information

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.

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