Promedica Psychiatry Group
LBN: Promedica, Inc.
Promedica Psychiatry Group is an health care organization with primary practice located at 2430 Tucker Dr Bldg A, Loganville GA 30052-4390. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty.
Promedica, Inc. can be contacted via phone (770) 554-8812, or through Littrell, Kimberly H. via phone (770) 554-8812.
Contact Information
Primary practice address
2430 Tucker Dr Bldg A
Loganville GA 30052-4390
Phone: (770) 554-8812
Fax: (770) 554-9810
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 029689 | Georgia |
Profile Details
NPI number | 1922036508 |
---|---|
LBN Legal business name | Promedica, Inc. |
DBA Doing business as | Promedica Psychiatry Group |
Authorized official | Littrell, Kimberly H. MS, APRN, BC |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 30th, 2006 |
Last updated | Apr 28th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922036508 | NPPES |
Georgia | MEDICAID | 00345408A |
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