GWINNETT HOLISTIC PSYCHIATRY, LLC
NPI 1003752247
Psychiatry & Neurology - Psychiatry in Lilburn, GA
About Gwinnett Holistic Psychiatry, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GWINNETT HOLISTIC PSYCHIATRY, LLC (NPI 1003752247) is a healthcare organization registered as a psychiatry in Lilburn, Georgia and active in the NPI registry since April 2026. The organization lists Thomas Yun, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gwinnett Holistic Psychiatry, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Gwinnett Holistic Psychiatry, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gwinnett Holistic Psychiatry, LLC's NPI number?
The NPI number for Gwinnett Holistic Psychiatry, LLC is 1003752247. It was assigned to this organization in the NPPES registry on April 28, 2026.
Where is Gwinnett Holistic Psychiatry, LLC located?
Gwinnett Holistic Psychiatry, LLC is located at 912 Killian Hill Rd SW Ste 202N, Lilburn, GA 30047. The listed phone number is (678) 400-4424.
What is Gwinnett Holistic Psychiatry, LLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Gwinnett Holistic Psychiatry, LLC enrolled in Medicare?
Yes. Gwinnett Holistic Psychiatry, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gwinnett Holistic Psychiatry, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Gwinnett Holistic Psychiatry, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Gwinnett Holistic Psychiatry, LLC was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Gwinnett Holistic Psychiatry, Llc · NPI 1003752247
Psychiatry organization in Lilburn, Georgia. Organization record, active in the CMS NPPES registry since April 28, 2026.
## Identity
- **NPI:** 1003752247 (Entity type: Organization)
- **Enumerated:** April 28, 2026
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Thomas Yun, OWNER
## Practice location
- **Address:** 912 KILLIAN HILL RD SW STE 202N, Lilburn, GA 30047-3110
- **Phone:** (678) 400-4424
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Psychiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1003752247) · Data from the CMS NPPES public registry.