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

Active since March 09, 2007CLIA Certified · 3 labs
1012 COGGINS PLACE, MARIETTA, GA 30060(770) 422-2009(770) 428-0330 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2026, Aug 1, 2019 (2 updates tracked since 2019).

About Psych Atlanta, P.c. NPPES

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

PSYCH ATLANTA, P.C. (NPI 1184756090) is a healthcare organization registered as a psychiatry in Marietta, Georgia and active in the NPI registry since March 2007. The organization holds 3 active CLIA laboratory certificates, maintains 6 additional practice locations, and lists Micheal David Banov, Owner, as its authorized official.

NPPES Registry Identity

NPI1184756090
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NamePSYCH ATLANTA, P.C.
Location Address1012 COGGINS PLACEMarietta, GA 30060-1306
Mailing Address1314 Concord Rd SeSmyrna, GA 30080-4361 · (770) 438-1799 · Fax (770) 825-9046
Phone(770) 422-2009
Fax(770) 428-0330
Organization SubpartNo
Authorized OfficialMicheal David BanovOwner · (770) 422-2009
Enumeration DateMarch 9, 2007
Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1184756090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1012 COGGINS PLACE, Marietta, GA 30060
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Secondary Practice Locations 6

Location 110475 Medlock Bridge Rd Ste 420Johns Creek, GA 30097-4439 · Phone (470) 737-1569 · Fax (833) 973-2670
Location 211755 Pointe Pl Ste A1Roswell, GA 30076-4657 · Phone (770) 667-1264 · Fax (770) 667-2238
Location 31 Baltimore Pl NW Ste 200Atlanta, GA 30308-2114 · Phone (470) 737-1606 · Fax (833) 973-4256
Location 41314 Concord Rd SESmyrna, GA 30080-4361 · Phone (770) 438-1799 · Fax (770) 825-9046
Location 56025 Professional Pkwy Ste 301Douglasville, GA 30134-5610 · Phone (770) 438-1799 · Fax (770) 825-9046
Location 615 Medical Dr NE Ste 350Cartersville, GA 30121-8005 · Phone (470) 737-1606 · Fax (833) 973-4256

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D1040752

Psych Atlanta, PC · Marietta, GA
Active · expires May 16, 2027
CLIA Number11D1040752
Laboratory TypePhysician Office
Certificate Effective DateMay 17, 2025
Certificate Expiration DateMay 16, 2027
Laboratory DirectorMichael D. Banov
Laboratory Phone(770) 422-2846
Laboratory LocationPsych Atlanta, PC1012 Coggins Place, Marietta, GA 30060
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2313965

Psych Atlanta Johns Creek · Johns Creek, GA
Active · expires Nov 11, 2026
CLIA Number11D2313965
Laboratory TypePhysician Office
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorMichael David Banov
Laboratory Phone(470) 552-5359
Laboratory LocationPsych Atlanta Johns Creek10475 Medlock Bridge Road, Johns Creek, GA 30097
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D1044590

Psych Atlanta, PC · Roswell, GA
Active · expires May 17, 2028
CLIA Number11D1044590
Laboratory TypePhysician Office
Certificate Effective DateMay 18, 2026
Certificate Expiration DateMay 17, 2028
Laboratory DirectorMichael D. Banov
Laboratory Phone(470) 552-5367
Laboratory LocationPsych Atlanta, PC11755 Pointe Place, Suite A1, Roswell, GA 30076
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Psych Atlanta, P.C.'s NPI number?

The NPI number for Psych Atlanta, P.C. is 1184756090. It was assigned to this organization in the NPPES registry on March 9, 2007.

Where is Psych Atlanta, P.C. located?

Psych Atlanta, P.C. is located at 1012 Coggins Place, Marietta, GA 30060. The listed phone number is (770) 422-2009.

What is Psych Atlanta, P.C.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Does Psych Atlanta, P.C. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Psych Atlanta, P.C. was last updated on March 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.