Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STAYWELL HEALTHCARE LLC
NPI 1225838998
Psychiatry & Neurology - Psychiatry in Conyers, GA

Active since March 13, 2025
1804 OVER LAKE DR SE STE B, CONYERS, GA 30013(470) 971-0062 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 1, 2026, Mar 13, 2025 (2 updates tracked since 2025).

About Staywell Healthcare Llc NPPES

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

STAYWELL HEALTHCARE LLC (NPI 1225838998) is a healthcare organization registered as a psychiatry in Conyers, Georgia and active in the NPI registry since March 2025. The organization lists Marcia Phillips, Pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1225838998
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameSTAYWELL HEALTHCARE LLC
Location Address1804 OVER LAKE DR SE STE BConyers, GA 30013-1788
Mailing Address1804 Over Lake Dr Se Ste BConyers, GA 30013-1788
Organization SubpartNo
Authorized OfficialMarcia PhillipsPmhnp-bc · (470) 767-0094
Enumeration DateMarch 13, 2025
Last NPPES UpdateSeptember 1, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1225838998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1804 OVER LAKE DR SE STE B, Conyers, GA 30013

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Staywell Healthcare 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 Staywell Healthcare LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1568907822
1804 OVER LAKE DR SE STE B
Conyers, GA 30013
(770) 954-8685
✔ 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 Staywell Healthcare LLC's NPI number?

The NPI number for Staywell Healthcare LLC is 1225838998. It was assigned to this organization in the NPPES registry on March 13, 2025.

Where is Staywell Healthcare LLC located?

Staywell Healthcare LLC is located at 1804 Over Lake Dr SE Ste B, Conyers, GA 30013. The listed phone number is (470) 971-0062.

What is Staywell Healthcare LLC's specialty?

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

Is Staywell Healthcare LLC enrolled in Medicare?

Yes. Staywell Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Staywell Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Staywell Healthcare 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 Staywell Healthcare LLC was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.