| Affiliated Psychological & Medical Consultants, Llc | |
|
200 W Academy Street Nw Suite A Gainesville GA 30501-8524 | |
| (770) 535-1284 | |
| (770) 536-3888 |
| Full Name | Affiliated Psychological & Medical Consultants, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 200 W Academy Street Nw, Gainesville, Georgia |
| Authorized Official Name and Position | Luann B Woods (OFFICE MANAGER) |
| Authorized Official Contact | 6786304963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affiliated Psychological & Medical Consultants, Llc 200 W Academy Nw Ste A Gainesville GA 30501-8524 Ph: (770) 535-1284 | Affiliated Psychological & Medical Consultants, Llc 200 W Academy Street Nw Suite A Gainesville GA 30501-8524 Ph: (770) 535-1284 |
| NPI Number | 1174601348 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 05/17/2022 |
| Certification Date | 05/17/2022 |
| Medicare PECOS PAC ID | 1153303987 |
|---|---|
| Medicare Enrollment ID | O20040604000070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174601348 | NPI | - | NPPES |
| 55001088A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Patricia Mccoy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205848017 PECOS PAC ID: 3971503442 Enrollment ID: I20070106000000 |
| Provider Name | David Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154409449 PECOS PAC ID: 7517967086 Enrollment ID: I20070106000005 |
| Provider Name | Janice Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740217710 PECOS PAC ID: 9335149806 Enrollment ID: I20070106000007 |
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