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SOLID GROUND BEHAVIORAL HEALTH PC
NPI 1033921390
Clinic/Center - Adolescent and Children Mental Health in Clayton, GA

Active since January 23, 2025
24 CHECHERO ST STE 2, CLAYTON, GA 30525(706) 963-0654 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Solid Ground Behavioral Health Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOLID GROUND BEHAVIORAL HEALTH PC (NPI 1033921390) is a healthcare organization registered as an adolescent and children mental health in Clayton, Georgia and active in the NPI registry since January 2025. The organization lists Mary Keller, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1033921390
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameSOLID GROUND BEHAVIORAL HEALTH PC
Location Address24 CHECHERO ST STE 2Clayton, GA 30525-6181
Mailing Address12244 Augusta Rd Unit 108Lavonia, GA 30553-1210 · (706) 983-9411
Phone(706) 963-0654
Organization SubpartNo
Authorized OfficialMary KellerNurse Practitioner · (706) 963-0654
Enumeration DateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
✔ NPI 1033921390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
24 CHECHERO ST STE 2, Clayton, GA 30525
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Solid Ground Behavioral Health Pc 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 Solid Ground Behavioral Health PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mary Keller, PMHNP-BC, RN
Nurse Practitioner
NPI 1427782861
24 CHECHERO ST STE 2
Clayton, GA 30525
(706) 963-0654
✔ PECOSSame address

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 Solid Ground Behavioral Health PC's NPI number?

The NPI number for Solid Ground Behavioral Health PC is 1033921390. It was assigned to this organization in the NPPES registry on January 23, 2025.

Where is Solid Ground Behavioral Health PC located?

Solid Ground Behavioral Health PC is located at 24 Chechero St Ste 2, Clayton, GA 30525. The listed phone number is (706) 963-0654.

What is Solid Ground Behavioral Health PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Is Solid Ground Behavioral Health PC enrolled in Medicare?

Yes. Solid Ground Behavioral Health PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Solid Ground Behavioral Health PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Solid Ground Behavioral Health PC. 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 Solid Ground Behavioral Health PC was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.