PSYCH ATLANTA, P.C.
NPI 1184756090
Psychiatry & Neurology - Psychiatry in Marietta, GA

NPI Status: Active since March 09, 2007

Contact Information

1012 COGGINS PLACE
MARIETTA, GA
ZIP 30060
Phone: (770) 422-2009
Fax: (770) 428-0330

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry
  • CLIA Number: 11D2313965
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-11-2026

About PSYCH ATLANTA, P.C.

This page provides the complete NPI Profile along with additional information for Psych Atlanta, P.c., a provider established in Marietta, Georgia operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1184756090 assigned on March 2007. The practitioner's primary taxonomy code is 2084P0800X. The provider is registered as an organization and their NPI record was last updated March 2026. Psych Atlanta, P.c. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Micheal David Banov Md (Owner)

NPI
1184756090
Provider Name
PSYCH ATLANTA, P.C.
Entity Type
Organization
Location Address
1012 COGGINS PLACE MARIETTA, GA 30060
Location Phone
(770) 422-2009
Location Fax
(770) 428-0330
Mailing Address
1314 CONCORD RD SE SMYRNA, GA 30080
Mailing Phone
(770) 438-1799
Mailing Fax
(770) 428-0330
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-09-2007
Last Update Date
03-24-2026
Code Navigator

A psychiatrist like Psych Atlanta, P.c. are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

Location Map

Secondary Locations

  • 15 Medical Dr NE Ste 350
    Cartersville, GA 30121
    (470) 737-1606
  • 6025 Professional Pkwy Ste 301
    Douglasville, GA 30134
    (770) 438-1799
  • 1314 Concord Rd SE
    Smyrna, GA 30080
    (770) 438-1799
  • 1 Baltimore Pl NW Ste 200
    Atlanta, GA 30308
    (470) 737-1606
  • 10475 Medlock Bridge Rd Ste 420
    Johns Creek, GA 30097
    (470) 737-1569
  • 11755 Pointe Pl Ste A1
    Roswell, GA 30076
    (770) 667-1264

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
License State
GA
Taxonomy Description
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MICHEAL DAVID BANOV MD

Authorized Official Title
OWNER
Authorized Official Phone
(770) 422-2009

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2313965
Facility Type
Physician Office
Certificate Effective Date
November 12, 2024
Certificate Expiration Date
November 11, 2026
Laboratory Director
MICHAEL DAVID BANOV
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Psych Atlanta, P.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1184756090, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 7 → 14 → 5 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 6 + 4 + 1 + 4 + 5 + 1 + 2 + 0 + 1 + 8 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1184756090.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184756090, enumerated as an "organization" on March 09, 2007.

The provider is located at 1012 COGGINS PLACE MARIETTA, GA 30060 and the phone number is (770) 422-2009.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.