Southern Behavioral Healthcare,p.c - Medicare Mental Health Clinic in Fayetteville, GA

Southern Behavioral Healthcare,p.c is a medicare enrolled mental health clinic (Psychiatry & Neurology - Child & Adolescent Psychiatry) in Fayetteville, Georgia. The current practice location for Southern Behavioral Healthcare,p.c is 110 Braxton Ct, Fayetteville, Georgia. For appointments, you can reach them via phone at (678) 610-7100. The mailing address for Southern Behavioral Healthcare,p.c is 110 Braxton Ct, Fayetteville, Georgia and phone number is (678) 610-7100.

Southern Behavioral Healthcare,p.c is licensed to practice in Georgia (license number 051606). The clinic also participates in the medicare program and its NPI number is 1598732869. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (678) 610-7100.

Contact Information

Southern Behavioral Healthcare,p.c
110 Braxton Ct
Fayetteville
GA 30214-1968
(678) 610-7100
(678) 610-7111

Map and Direction


Mental Health Clinic Profile

Full NameSouthern Behavioral Healthcare,p.c
SpecialityPsychiatry & Neurology
Location110 Braxton Ct, Fayetteville, Georgia
Authorized Official Name and PositionSalewa Taiwo (OFFICE MANAGER)
Authorized Official Contact6786107100
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southern Behavioral Healthcare,p.c
110 Braxton Ct
Fayetteville
GA 30214-1968

Ph: (678) 610-7100
Southern Behavioral Healthcare,p.c
110 Braxton Ct
Fayetteville
GA 30214-1968

Ph: (678) 610-7100

NPI Details:

NPI Number1598732869
Provider Enumeration Date03/04/2006
Last Update Date09/14/2022
Certification Date09/14/2022

Medicare PECOS Information:

Medicare PECOS PAC ID8628194057
Medicare Enrollment IDO20100923000196

Medical Identifiers

Medical identifiers for Southern Behavioral Healthcare,p.c such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598732869NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 64622 (Georgia)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 051606 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southern Behavioral Healthcare,p.c acts as a billing entity for following providers:
Provider NameOlufemi A Taiwo
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1225005598
PECOS PAC ID: 2961305495
Enrollment ID: I20040130000742
Provider NameKaren D Amos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851830533
PECOS PAC ID: 1153686886
Enrollment ID: I20180530003110

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.