SOUTHEASTERN PSYCHOLOGICAL ASSOCIATES, INC
NPI 1316216880
Psychologist - Clinical Child & Adolescent in Covington, GA

Q: What is Southeastern Psychological Associates, Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Active since December 29, 2011

3155 MILL STREET, COVINGTON, GA 30014(404) 226-0939(678) 802-0939 Get Directions Write a Review

NPPES record last updated: May 3, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Southeastern Psychological Associates, Inc NPPES

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

SOUTHEASTERN PSYCHOLOGICAL ASSOCIATES, INC (NPI 1316216880) is a healthcare organization registered as a clinical child & adolescent in Covington, Georgia and active in the NPI registry since December 2011. The organization lists Priscilla Faulkner, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1316216880

Entity TypeOrganization

Primary Taxonomy103TC2200X

Legal Business NameSOUTHEASTERN PSYCHOLOGICAL ASSOCIATES, INC

Location Address3155 MILL STREETCovington, GA 30014

Mailing Address3155 Mill StreetCovington, GA 30014-2542 · (678) 712-6520 · Fax (678) 712-6521

Phone(404) 226-0939

Fax(678) 802-0939

Organization SubpartNo

Authorized OfficialPriscilla FaulknerOwner/director · (678) 712-6520

Enumeration DateDecember 29, 2011

Last NPPES UpdateMay 3, 2017

✔ NPI 1316216880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in GA · PSY002144

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

3155 MILL STREET, Covington, GA 30014

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeastern Psychological Associates, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Southeastern Psychological Associates, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Priscilla Faulkner, PSYD

Clinical Psychologist

NPI 1366579773

3155 MILL STREET
Covington, GA 30014

(678) 712-6520

✔ PECOS✔ Accepts MedicareSame address

Jessica Morris, LPC

Mental Health Counselor

NPI 1114082054

3155 MILL ST NE
Covington, GA 30014

(678) 712-6520

✔ PECOS✔ Accepts Medicare0.1 mi

Samia Solaiman, LCSW

Clinical Social Worker

NPI 1205391919

3155 MILL ST NE
Covington, GA 30014

(678) 712-6520

✔ PECOS0.1 mi

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 Southeastern Psychological Associates, Inc's NPI number?

The NPI number for Southeastern Psychological Associates, Inc is 1316216880. It was assigned to this organization in the NPPES registry on December 29, 2011.

Where is Southeastern Psychological Associates, Inc located?

Southeastern Psychological Associates, Inc is located at 3155 Mill Street, Covington, GA 30014. The listed phone number is (404) 226-0939.

What is Southeastern Psychological Associates, Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Southeastern Psychological Associates, Inc enrolled in Medicare?

Yes. Southeastern Psychological Associates, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeastern Psychological Associates, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Southeastern Psychological Associates, Inc, in Clinical Psychologist, Clinical Social Worker and Mental Health Counselor. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southeastern Psychological Associates, Inc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Southeastern Psychological Associates, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southeastern Psychological Associates, Inc was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.