MEDICARE: PHYSICIAN SPECIALISTS OF ATLANTA

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	174400000X	Specialist		GA

General Provider Information

NPI Number	:	1659616589
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICIAN SPECIALISTS OF ATLANTA

Provider Business Mailing Address
First Line	:	PO BOX 421876
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-8876
Country	:	US
Telephone Number	:	404-531-9992
Fax Number	:	404-531-9901

Provider Business Practice Location Address
First Line	:	100 GLENRIDGE POINT PKWY NE
Second Line	:	STE 530
City	:	ATLANTA
State	:	GA
Zip	:	30342-1442
Country	:	US
Telephone Number	:	404-531-9992
Fax Number	:	404-531-9901

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. REBECA ROSH
Credential	:
Telephone Number	:	404-531-9992

Provider Enumeration Date	:	12/04/2012
Last Update Date	:	12/04/2012

Similar Medicare Providers

1386752152 — MS. PAMELA LYNN COLLINS M.S., CCC-SLP
Practice Location Address:

2410 KINGSLAND DR
ATLANTA, GA
30360-1442

Practice Phone: 678-248-1692
Practice Fax: 678-248-1693

1689832214 — ANDREA CAROL BRADFORD MD
Practice Location Address:

4170 ASHFORD DUNWOODY RD NE
ATLANTA, GA
30319-1442

Practice Phone: 404-949-2845
Practice Fax: 770-737-3003

1184908709 — WILLIAM RUSSELL AUGER LMHC
Practice Location Address:

4170 ASHFORD DUNWOODY RD NE , SUITE 100
ATLANTA, GA
30319-1442

Practice Phone: 800-548-6549
Practice Fax:

1396290680 — ATLANTA HEALTH SYSTEM CORP
Practice Location Address:

3348 PEACHTREE RD NE STE 700
ATLANTA, GA
30326-1442

Practice Phone: 404-934-5181
Practice Fax: 470-200-0254

1346790540 — TIERRA DEE HOWARD-BERRY
Practice Location Address:

1442 BOULDERCREST RD SE , APT G2
ATLANTA, GA
30316-3542

Practice Phone: 540-910-0256
Practice Fax:

1982171856 — LIONROCK BEHAVIORAL HEALTH, INC
Practice Location Address:

3348 PEACHTREE RD NE STE 700
ATLANTA, GA
30326-1442

Practice Phone: 760-994-4990
Practice Fax: 866-899-8670

Directions to “PHYSICIAN SPECIALISTS OF ATLANTA ” 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 © 2007-2026 (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.