| Athens Behavioral Medicine | |
|
1361 Jennings Mill Rd Ste 201 Bogart GA 30622-2592 | |
| (706) 316-1908 | |
| (706) 316-2062 |
| Full Name | Athens Behavioral Medicine |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1361 Jennings Mill Rd, Bogart, Georgia |
| Authorized Official Name and Position | Susie Watkins (BILLING) |
| Authorized Official Contact | 7093161908 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Athens Behavioral Medicine 1361 Jennings Mill Rd Suite 201 Bogart GA 30622-2592 Ph: (706) 316-1908 | Athens Behavioral Medicine 1361 Jennings Mill Rd Ste 201 Bogart GA 30622-2592 Ph: (706) 316-1908 |
| NPI Number | 1902026347 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5294756326 |
|---|---|
| Medicare Enrollment ID | O20051216000028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902026347 | NPI | - | NPPES |
| 00958625A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 051255 (Georgia) | Primary |
| Provider Name | Thomas W Mccormack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740298728 PECOS PAC ID: 8921029059 Enrollment ID: I20111205000523 |
Edward J Fisher Jr Md Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1361 Jennings Mill Rd, Bldg 200 Ste 201, Bogart, GA 30622 Phone: 706-316-1908 Fax: 706-316-2062 | |
Families 4 Change, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1551 Jennings Mill Rd, Suite 3100b, Bogart, GA 30622 Phone: 706-369-9707 Fax: 706-369-9708 | |
Made For Kids, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 182 Ben Burton Cir, Suite 100, Bogart, GA 30622 Phone: 706-995-3160 Fax: 706-243-4611 | |
Debra Alvis, Ph.d., Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1551 Jennings Mill Rd, Suite 2000 B, Bogart, GA 30622 Phone: 706-369-7441 Fax: 706-549-2569 | |
Talk Works Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3001 Monroe Hwy, Ste 600 C, Bogart, GA 30622 Phone: 706-224-0012 | |
New Reflections Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 182 Ben Burton Cir Ste 200, Bogart, GA 30622 Phone: 706-224-6636 |