NPI Code Detail JSON Logo

1508679697 NPI number — GEORGIA PSYCHIATRY & SLEEP

NPI Number: 1508679697
Health Care Provider/Practitioner: GEORGIA PSYCHIATRY & SLEEP

Information about “1508679697” NPI (GEORGIA PSYCHIATRY & SLEEP) exists in 1508679697 in HTML format HTML  |  1508679697 in plain Text format TXT  |  1508679697 in PDF (Portable Document Format) PDF  |  1508679697 in an XML format XML  formats.

NPI Number : 1508679697 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508679697",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "GEORGIA PSYCHIATRY AND SLEEP",
    "ParentOrgTIN": null,
    "OrgName": "GEORGIA PSYCHIATRY & SLEEP",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1314 CONCORD RD SE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SMYRNA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30080-4361",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "770-438-1799",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1 BALTIMORE PL NW STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ATLANTA",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30308-2114",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "470-737-1606",
    "PracticeLocationAddressFaxNumber": "833-973-4256",
    "EnumerationDate": "01/31/2025",
    "LastUpdateDate": "01/31/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SHROFF",
    "AuthorizedOfficialFirstName": "HAPPY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRACTICE OFFICE MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "770-833-6885",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2084P0800X",
        "TaxonomyName": "Psychiatry Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.