| Ga Psychiatric Services, Llc | |
|
2150 Peachford Rd Ste K Atlanta GA 30338-6539 | |
| (770) 458-0450 | |
| (770) 458-0470 |
| Full Name | Ga Psychiatric Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2150 Peachford Rd Ste K, Atlanta, Georgia |
| Authorized Official Name and Position | Suneel Babu Katragadda (PRESIDENT) |
| Authorized Official Contact | 7704580450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ga Psychiatric Services, Llc 2566 Shallowford Rd Ne Ste 104 Pmb 324 Atlanta GA 30345-1200 Ph: (404) 323-8862 | Ga Psychiatric Services, Llc 2150 Peachford Rd Ste K Atlanta GA 30338-6539 Ph: (770) 458-0450 |
| NPI Number | 1124255070 |
|---|---|
| Provider Enumeration Date | 06/18/2009 |
| Last Update Date | 06/10/2022 |
| Certification Date | 06/10/2022 |
| Medicare PECOS PAC ID | 7012062292 |
|---|---|
| Medicare Enrollment ID | O20090911000628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124255070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 09030920 (Georgia) | Primary |
| Provider Name | Suneel B Katragadda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972632388 PECOS PAC ID: 2567553241 Enrollment ID: I20070809000524 |
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