GEORGIA PSYCHIATRY SERVICES LLC
NPI 1245036573
Nurse Practitioner - Psychiatric/Mental Health in Kingsland, GA
About Georgia Psychiatry Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GEORGIA PSYCHIATRY SERVICES LLC (NPI 1245036573) is a healthcare organization registered as a psychiatric/mental health in Kingsland, Georgia and active in the NPI registry since February 2025. The organization lists Kellie King, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Georgia Psychiatry Services 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 Georgia Psychiatry Services LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Georgia Psychiatry Services LLC's NPI number?
The NPI number for Georgia Psychiatry Services LLC is 1245036573. It was assigned to this organization in the NPPES registry on February 19, 2025.
Where is Georgia Psychiatry Services LLC located?
Georgia Psychiatry Services LLC is located at 130 N Gross Rd, Kingsland, GA 31548. The listed phone number is (912) 208-2055.
What is Georgia Psychiatry Services LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Georgia Psychiatry Services LLC enrolled in Medicare?
Yes. Georgia Psychiatry Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Georgia Psychiatry Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Georgia Psychiatry Services 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 Georgia Psychiatry Services LLC was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Georgia Psychiatry Services Llc · NPI 1245036573
Psychiatric/Mental Health organization in Kingsland, Georgia. Organization record, active in the CMS NPPES registry since February 19, 2025.
## Identity
- **NPI:** 1245036573 (Entity type: Organization)
- **Enumerated:** February 19, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Kellie King, OWNER
## Practice location
- **Address:** 130 N GROSS RD, Kingsland, GA 31548-6262
- **Phone:** (912) 208-2055 · **Fax:** (912) 250-5813
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 19, 2025
- **Other identifiers:** Medicaid 003214783A (GA); Medicaid 003214783B (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1245036573) · Data from the CMS NPPES public registry.