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SOUTHEAST PSYCHIATRY SERVICES, LLC
NPI 1467040410
Psychiatry & Neurology - Psychiatry in Pike Road, AL

Active since January 05, 2021
182 BOYKIN LAKES LOOP, PIKE ROAD, AL 36064(706) 315-7478 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 22, 2021, Jan 5, 2021 (2 updates tracked since 2021).

About Southeast Psychiatry Services, Llc NPPES

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

SOUTHEAST PSYCHIATRY SERVICES, LLC (NPI 1467040410) is a healthcare organization registered as a psychiatry in Pike Road, Alabama and active in the NPI registry since January 2021. The organization lists Kristy Savage, Partner, as its authorized official.

NPPES Registry Identity

NPI1467040410
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameSOUTHEAST PSYCHIATRY SERVICES, LLC
Location Address182 BOYKIN LAKES LOOPPike Road, AL 36064-3961
Mailing Address182 Boykin Lakes LoopPike Road, AL 36064-3961 · (706) 315-7478
Phone(706) 315-7478
Organization SubpartNo
Authorized OfficialKristy SavagePartner · (706) 315-7478
Enumeration DateJanuary 5, 2021
Last NPPES UpdateJanuary 22, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
✔ NPI 1467040410 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.
182 BOYKIN LAKES LOOP, Pike Road, AL 36064
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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)

Southeast Psychiatry Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Southeast Psychiatry Services, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Randall Campbell, LICSW, CADC, CRSS
Single or Multispecialty Clinic or Group Practice
NPI 1366030124
212 W TROY ST STE B
Dothan, AL 36303
(205) 394-3765
✔ PECOS84 mi
Maggie Knight, MSN, CRNP, PMHNP-BC
Nurse Practitioner
NPI 1689255598
7884 SPANISH FORT BLVD
Spanish Fort, AL 36527
(251) 868-6030
✔ PECOS✔ Accepts Medicare154 mi
Alexus Lambert, PMHNP - BC
Nurse Practitioner
NPI 1619694130
1110 MONTLIMAR DR STE 500
Mobile, AL 36609
(251) 662-9466
✔ PECOS✔ Accepts Medicare165 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 Southeast Psychiatry Services, LLC's NPI number?

The NPI number for Southeast Psychiatry Services, LLC is 1467040410. It was assigned to this organization in the NPPES registry on January 5, 2021.

Where is Southeast Psychiatry Services, LLC located?

Southeast Psychiatry Services, LLC is located at 182 Boykin Lakes Loop, Pike Road, AL 36064. The listed phone number is (706) 315-7478.

What is Southeast Psychiatry Services, LLC's specialty?

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

Is Southeast Psychiatry Services, LLC enrolled in Medicare?

Yes. Southeast Psychiatry Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Psychiatry Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Southeast Psychiatry Services, LLC, in Nurse Practitioner and Single or Multispecialty Clinic or Group Practice. 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 Southeast Psychiatry Services, LLC was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.