Kingsley E Iyamu, MD | |
1850 Lake Park Dr Se, 218, Smyrna, GA 30080-7647 | |
(404) 213-8526 | |
(770) 438-1125 |
Full Name | Kingsley E Iyamu |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1850 Lake Park Dr Se, Smyrna, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275615171 | NPI | - | NPPES |
000899808B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 044493 (Georgia) | Primary |
2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 044493 (Georgia) | Secondary |
Entity Name | Apex Behavioral Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710154893 PECOS PAC ID: 4880675750 Enrollment ID: O20040526001160 |
Entity Name | Mcintosh Trail Community Service Board |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336317270 PECOS PAC ID: 6204818669 Enrollment ID: O20040601001239 |
Entity Name | Carenow Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770713117 PECOS PAC ID: 2163561259 Enrollment ID: O20091203000017 |
Entity Name | Antia's Tender Touch Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134471030 PECOS PAC ID: 8224328125 Enrollment ID: O20160606001381 |
Mailing Address | Practice Location Address |
---|---|
Kingsley E Iyamu, MD 1850 Lake Park Dr Se, 218, Smyrna, GA 30080-7647 Ph: (404) 213-8526 | Kingsley E Iyamu, MD 1850 Lake Park Dr Se, 218, Smyrna, GA 30080-7647 Ph: (404) 213-8526 |
Jeffrey H Klopper, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3188 Atlanta Road, Smyrna, GA 30080 Phone: 770-319-6000 Fax: 770-319-6330 | |
Mr. Brett M Ryabik, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3188 Atlanta Rd Se, Smyrna, GA 30080 Phone: 770-319-6000 Fax: 770-319-6330 | |
Dr. John Bennett Lochridge, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3050 Atlanta Rd Se, Smyrna, GA 30080 Phone: 770-436-8383 Fax: 770-436-8323 | |
Dr. Munjal Shroff, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1314 Concord Rd Se, Smyrna, GA 30080 Phone: 770-438-1799 Fax: 770-825-9046 | |
Mr. William Theron Mclarty Jr., M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4015 South Cobb Drive, Suite 110, Smyrna, GA 30080 Phone: 770-434-5100 Fax: 770-434-3923 | |
Gaelle Laure Essenam Gounteni, PMHNP-BC Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4125 Atlanta Rd Se Ste 120, Smyrna, GA 30080 Phone: 770-858-5377 |