| Georgia Psychiatric Consultants Llc | |
|
652 Bellemeade Ave Nw Atlanta GA 30318-3102 | |
| (678) 705-8166 | |
| (678) 705-8569 |
| Full Name | Georgia Psychiatric Consultants Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 652 Bellemeade Ave Nw, Atlanta, Georgia |
| Authorized Official Name and Position | David Charles Purselle (MANAGING MEMBER) |
| Authorized Official Contact | 6787058166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Psychiatric Consultants Llc 652 Bellemeade Ave Nw Atlanta GA 30318-3102 Ph: (678) 705-8166 | Georgia Psychiatric Consultants Llc 652 Bellemeade Ave Nw Atlanta GA 30318-3102 Ph: (678) 705-8166 |
| NPI Number | 1174847834 |
|---|---|
| Provider Enumeration Date | 03/23/2010 |
| Last Update Date | 03/05/2021 |
| Certification Date | 03/05/2021 |
| Medicare PECOS PAC ID | 4183740376 |
|---|---|
| Medicare Enrollment ID | O20100924000730 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174847834 | NPI | - | NPPES |
| 003105773A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 044312 (Georgia) | Primary |
| Provider Name | David C Purselle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356384135 PECOS PAC ID: 3173649365 Enrollment ID: I20101019000713 |
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