MEDICARE: SOUTHSIDE PSYCHIATRIC ASSOCIATES, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	024707	GA

General Provider Information

NPI Number	:	1265588438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHSIDE PSYCHIATRIC ASSOCIATES, P.C.

Provider Business Mailing Address
First Line	:	240 CORPORATE CENTER DR
Second Line	:	SUITE D
City	:	STOCKBRIDGE
State	:	GA
Zip	:	30281-7214
Country	:	US
Telephone Number	:	678-284-9171
Fax Number	:

Provider Business Practice Location Address
First Line	:	240 CORPORATE CENTER DR
Second Line	:	SUITE D
City	:	STOCKBRIDGE
State	:	GA
Zip	:	30281-7214
Country	:	US
Telephone Number	:	678-284-9171
Fax Number	:

Authorized Official
Title or Position	:	PRINCIPAL
Name	:	CAROL A LYLE
Credential	:	MD
Telephone Number	:	678-284-9171

Provider Enumeration Date	:	01/28/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1578427662 — QUINTERIA TRAMECE WOODS
Practice Location Address:

240 CORPORATE CENTER DR STE B
STOCKBRIDGE, GA
30281-7214

Practice Phone: 770-728-3990
Practice Fax:

1861413494 — JOSEPH T PATE JR. PHD
Practice Location Address:

240 CORPORATE CENTER DR , SUITE D
STOCKBRIDGE, GA
30281-7214

Practice Phone: 770-506-8187
Practice Fax: 770-506-7436

1134136328 — SIMONNE DUPRE M.D.
Practice Location Address:

240 CORPORATE CENTER DR , SUITE D
STOCKBRIDGE, GA
30281-7214

Practice Phone: 770-389-8855
Practice Fax: 770-506-7436

1568573871 — CAROL A LYLE M.D.
Practice Location Address:

240 CORPORATE CENTER DR , SUITE 200
STOCKBRIDGE, GA
30281-7214

Practice Phone: 678-284-9171
Practice Fax: 770-506-7436

1700950631 — DR. WHATLEY BATTEY FENLON PH.D.
Practice Location Address:

240 CORPORATE CENTER DR
STOCKBRIDGE, GA
30281-7214

Practice Phone: 404-483-5605
Practice Fax:

1023158466 — LYNETTE VIRGINIA FARR PH.D., LMFT
Practice Location Address:

240 CORPORATE CENTER DR , SUITE D
STOCKBRIDGE, GA
30281-7214

Practice Phone: 770-507-4124
Practice Fax: 770-507-4124

Directions to “SOUTHSIDE PSYCHIATRIC ASSOCIATES, P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.