PEACHTREE FAMILY PSYCHIATRY CLINIC
NPI 1487059564
Psychologist - Prescribing (Medical) in Atlanta, GA

Q: What is Peachtree Family Psychiatry Clinic's NPI number?

The NPI number for Peachtree Family Psychiatry Clinic is 1487059564. It was assigned to this organization in the NPPES registry on October 30, 2014.

Q: What is Peachtree Family Psychiatry Clinic's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Active since October 30, 2014

1720 PEACHTREE ST NW STE 320, ATLANTA, GA 30309(404) 249-8496 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Peachtree Family Psychiatry Clinic NPPES

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

PEACHTREE FAMILY PSYCHIATRY CLINIC (NPI 1487059564) is a healthcare organization registered as a prescribing (medical) in Atlanta, Georgia and active in the NPI registry since October 2014. The organization lists Yassar Kanawati, Psychiatrist, as its authorized official.

NPPES Registry Identity

NPI1487059564

Entity TypeOrganization

Primary Taxonomy103TP0016X

Legal Business NamePEACHTREE FAMILY PSYCHIATRY CLINIC

Location Address1720 PEACHTREE ST NW STE 320Atlanta, GA 30309-2447

Mailing Address1776 Peachtree St Nw, Suite 310 NorthAtlanta, GA 30309-2307 · (404) 249-8496

Phone(404) 249-8496

Organization SubpartNo

Authorized OfficialYassar KanawatiPsychiatrist · (770) 380-0635

Enumeration DateOctober 30, 2014

Last NPPES UpdateJune 26, 2024

NPPES CertifiedJune 26, 2024

✔ NPI 1487059564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers

Taxonomy Code103TP0016X

License✔ Licensed in GA · 49237

Definition

A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

1720 PEACHTREE ST NW STE 320, Atlanta, GA 30309

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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)

Peachtree Family Psychiatry Clinic 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 Peachtree Family Psychiatry Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Yassar Kanawati, M.D.

Psychiatry

NPI 1396833638

1720 PEACHTREE ST NW STE 320N
Atlanta, GA 30309

(404) 249-8496

✔ PECOS✔ Accepts MedicareSame 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 Peachtree Family Psychiatry Clinic's NPI number?

The NPI number for Peachtree Family Psychiatry Clinic is 1487059564. It was assigned to this organization in the NPPES registry on October 30, 2014.

Where is Peachtree Family Psychiatry Clinic located?

Peachtree Family Psychiatry Clinic is located at 1720 Peachtree St NW Ste 320, Atlanta, GA 30309. The listed phone number is (404) 249-8496.

What is Peachtree Family Psychiatry Clinic's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Is Peachtree Family Psychiatry Clinic enrolled in Medicare?

Yes. Peachtree Family Psychiatry Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peachtree Family Psychiatry Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Peachtree Family Psychiatry Clinic. 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 Peachtree Family Psychiatry Clinic was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.