Healthcare Provider Details

I. General information

NPI: 1831548536
Provider Name (Legal Business Name): NEDA HABEEB MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2016
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 BREEDLOVE DR STE C
MONROE GA
30655-2064
US

IV. Provider business mailing address

1227 ROCKBRIDGE RD
STONE MOUNTAIN GA
30087-3064
US

V. Phone/Fax

Practice location:
  • Phone: 706-705-1687
  • Fax: 706-705-1654
Mailing address:
  • Phone: 706-705-1687
  • Fax: 706-705-1654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number4301116873
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number89882
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: