L. EMBRY COLLINS, JR., PHD, P.C.
NPI 1215169883
Clinic/Center - Mental Health (Including Community Mental Health Center) in Norcross, GA
About L. Embry Collins, Jr., Phd, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
L. EMBRY COLLINS, JR., PHD, P.C. (NPI 1215169883) is a healthcare organization registered as a mental health (including community mental health center) in Norcross, Georgia and active in the NPI registry since August 2009. The organization lists Lewis Embry Collins, Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
L. Embry Collins, Jr., Phd, P.c. 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 L. Embry Collins, Jr., Phd, P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
Berkeley Lake, GA 30071
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 L. Embry Collins, Jr., Phd, P.C.'s NPI number?
The NPI number for L. Embry Collins, Jr., Phd, P.C. is 1215169883. It was assigned to this organization in the NPPES registry on August 17, 2009.
Where is L. Embry Collins, Jr., Phd, P.C. located?
L. Embry Collins, Jr., Phd, P.C. is located at 4530 S Berkeley Lake Rd Suite B, Norcross, GA 30071. The listed phone number is (770) 446-5642.
What is L. Embry Collins, Jr., Phd, P.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is L. Embry Collins, Jr., Phd, P.C. enrolled in Medicare?
Yes. L. Embry Collins, Jr., Phd, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through L. Embry Collins, Jr., Phd, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to L. Embry Collins, Jr., Phd, P.C.. 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 L. Embry Collins, Jr., Phd, P.C. was last updated on August 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.
# L. Embry Collins, Jr., Phd, P.c. · NPI 1215169883
Mental Health (Including Community Mental Health Center) organization in Norcross, Georgia. Organization record, active in the CMS NPPES registry since August 17, 2009.
## Identity
- **NPI:** 1215169883 (Entity type: Organization)
- **Enumerated:** August 17, 2009
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Lewis Collins, PSYCHOLOGIST
## Practice location
- **Address:** 4530 S BERKELEY LAKE RD, SUITE B, Norcross, GA 30071-1660
- **Phone:** (770) 446-5642 · **Fax:** (770) 446-5643
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 17, 2009
- **Other identifiers:** Medicaid 000546356C (GA); Medicare UPIN 68BBCFG (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1215169883) · Data from the CMS NPPES public registry.