Provider Demographics
NPI:1760524672
Name:NORTH ATLANTA PSYCHIATRIC ASSOCIATION
Entity Type:Organization
Organization Name:NORTH ATLANTA PSYCHIATRIC ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:NAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-455-0261
Mailing Address - Street 1:2150 PEACHFORD RD
Mailing Address - Street 2:SUITE R
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-6520
Mailing Address - Country:US
Mailing Address - Phone:770-455-0261
Mailing Address - Fax:678-209-5300
Practice Address - Street 1:2150 PEACHFORD RD
Practice Address - Street 2:SUITE R
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-6520
Practice Address - Country:US
Practice Address - Phone:770-455-0261
Practice Address - Fax:678-209-5300
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTH ATLANTA PSYCHIATRIC ASSOCIATION LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-14
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAD46382Medicare UPIN
GA80BBGHCMedicare PIN
GA26BDHKGMedicare ID - Type UnspecifiedMARK HUTTO, M.D.
GA202I268024Medicare UPIN
GAD29827Medicare UPIN
GA26BDHKDMedicare ID - Type UnspecifiedTHOMAS B. JOHNS, M.D.
GAG83339Medicare UPIN