Healthcare Provider Details

I. General information

NPI: 1558516997
Provider Name (Legal Business Name): GEORGIA PSYCHIATRY & SLEEP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2008
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1314 CONCORD RD SE
SMYRNA GA
30080-4361
US

IV. Provider business mailing address

1314 CONCORD RD SE STE 220
SMYRNA GA
30080-4361
US

V. Phone/Fax

Practice location:
  • Phone: 770-438-1799
  • Fax: 770-825-9046
Mailing address:
  • Phone: 770-438-1799
  • Fax: 770-825-9046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number060193
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number060193
License Number StateGA

VIII. Authorized Official

Name: MRS. HAPPY P SHROFF
Title or Position: OFFICE MANAGER
Credential:
Phone: 770-833-6885