| Psychiatric Consultants Of Atlanta | |
|
990 Hammond Dr Ste 525 Atlanta GA 30328-5529 | |
| (770) 234-0981 | |
| (770) 626-4226 |
| Full Name | Psychiatric Consultants Of Atlanta |
|---|---|
| Speciality | Clinic/Center |
| Location | 990 Hammond Dr Ste 525, Atlanta, Georgia |
| Authorized Official Name and Position | Bryon Kirkland Evans (OWNER/CEO) |
| Authorized Official Contact | 7702340981 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Consultants Of Atlanta 990 Hammond Dr Ste 525 Atlanta GA 30328-5529 Ph: (770) 234-0981 | Psychiatric Consultants Of Atlanta 990 Hammond Dr Ste 525 Atlanta GA 30328-5529 Ph: (770) 234-0981 |
| NPI Number | 1629088984 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 6305949090 |
|---|---|
| Medicare Enrollment ID | O20070319000217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629088984 | NPI | - | NPPES |
| DG1845 | Other | GA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 53850 (Georgia) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 53850 (Georgia) | Primary |
| Provider Name | Bryon K Evans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942280011 PECOS PAC ID: 9133168479 Enrollment ID: I20050427000229 |
| Provider Name | Elahe Mohazab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770993610 PECOS PAC ID: 2163647546 Enrollment ID: I20140626001336 |
| Provider Name | Anna Carolina Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649767310 PECOS PAC ID: 2961738497 Enrollment ID: I20200828001244 |
| Provider Name | Bryan Charles Ellerson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023324647 PECOS PAC ID: 3577868801 Enrollment ID: I20210308000483 |
| Provider Name | Tiffany Tamaira Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457943813 PECOS PAC ID: 8224414388 Enrollment ID: I20220928000374 |
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