| Psychiatric Services Of America | |
|
311 Gwinnett Dr. Lawrenceville GA 30046 | |
| (770) 910-9196 | |
| (770) 910-9197 |
| Full Name | Psychiatric Services Of America |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 311 Gwinnett Dr., Lawrenceville, Georgia |
| Authorized Official Name and Position | Shahzad Hasmi (CMO) |
| Authorized Official Contact | 7709109196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Services Of America Po Box 263 Lawrenceville GA 30046 Ph: (770) 714-8822 | Psychiatric Services Of America 311 Gwinnett Dr. Lawrenceville GA 30046 Ph: (770) 910-9196 |
| NPI Number | 1508087792 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1658348990 |
|---|---|
| Medicare Enrollment ID | O20040915000582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508087792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 053239 (Georgia) | Secondary |
| Provider Name | Shahzad M Hashmi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770566341 PECOS PAC ID: 0244207595 Enrollment ID: I20040915000673 |
| Provider Name | Gretchen M Collins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053493932 PECOS PAC ID: 1153379409 Enrollment ID: I20050104000601 |
| Provider Name | Felisha Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740349588 PECOS PAC ID: 6002818242 Enrollment ID: I20070201000097 |
| Provider Name | Kim R Leverett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467653394 PECOS PAC ID: 1850491119 Enrollment ID: I20070716000414 |
| Provider Name | Kayln T Lane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619154028 PECOS PAC ID: 1153489851 Enrollment ID: I20081024000350 |
| Provider Name | Syed A Imam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144413733 PECOS PAC ID: 7618147521 Enrollment ID: I20121011000218 |
| Provider Name | Crystal Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417103821 PECOS PAC ID: 1951541952 Enrollment ID: I20130716000671 |
| Provider Name | Nurul I Hoque |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912109505 PECOS PAC ID: 2163597170 Enrollment ID: I20150708000183 |
| Provider Name | Jasmine U Kearse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366711822 PECOS PAC ID: 5193026490 Enrollment ID: I20151210000534 |
| Provider Name | Falahat Farooqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447693056 PECOS PAC ID: 2567718190 Enrollment ID: I20180711003284 |
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