GEORGIA PSYCH SERVICES LLC
NPI 1245801075
Nurse Practitioner - Psychiatric/Mental Health in Locust Grove, GA

Q: What is Georgia Psych Services LLC's NPI number?

The NPI number for Georgia Psych Services LLC is 1245801075. It was assigned to this organization in the NPPES registry on July 2, 2021.

Q: What is Georgia Psych Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since July 02, 2021

4922 BILL GARDNER PKWY # 2, LOCUST GROVE, GA 30248(330) 536-3746(330) 267-4250 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2021, Aug 17, 2021, Jul 2, 2021 (3 updates tracked since 2021).

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About Georgia Psych Services Llc NPPES

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

GEORGIA PSYCH SERVICES LLC (NPI 1245801075) is a healthcare organization registered as a psychiatric/mental health in Locust Grove, Georgia and active in the NPI registry since July 2021. The organization lists Robert Sean Rae, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245801075

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameGEORGIA PSYCH SERVICES LLC

Location Address4922 BILL GARDNER PKWY # 2Locust Grove, GA 30248-3647

Mailing Address3593 Medina Line Rd 181Medina, OH 44256 · (330) 664-9250 · Fax (330) 267-4250

Phone(330) 536-3746

Fax(330) 267-4250

Organization SubpartNo

Authorized OfficialRobert Sean RaeCeo · (330) 536-3746

Enumeration DateJuly 2, 2021

Last NPPES UpdateAugust 24, 20213 updates tracked since enumeration

NPPES CertifiedAugust 24, 2021

✔ NPI 1245801075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedNurse PractitionerTaxonomy 363L00000X

4922 BILL GARDNER PKWY # 2, Locust Grove, GA 30248

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Group Practice 2

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

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

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 Psych Services LLC's NPI number?

The NPI number for Georgia Psych Services LLC is 1245801075. It was assigned to this organization in the NPPES registry on July 2, 2021.

Where is Georgia Psych Services LLC located?

Georgia Psych Services LLC is located at 4922 Bill Gardner Pkwy # 2, Locust Grove, GA 30248. The listed phone number is (330) 536-3746.

What is Georgia Psych Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Georgia Psych Services LLC was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.