PSYCHIATRY AND WELLNESS OF GEORGIA, LLC
NPI 1528774916
Clinical Nurse Specialist - Psychiatric/Mental Health, Child & Family in Roswell, GA
About Psychiatry And Wellness Of Georgia, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PSYCHIATRY AND WELLNESS OF GEORGIA, LLC (NPI 1528774916) is a healthcare organization registered as a psychiatric/mental health, child & family in Roswell, Georgia and active in the NPI registry since January 2023. The organization lists John Kanyuira, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 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)
Psychiatry And Wellness Of Georgia, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Psychiatry And Wellness Of Georgia, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (11)
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 Psychiatry And Wellness Of Georgia, LLC's NPI number?
The NPI number for Psychiatry And Wellness Of Georgia, LLC is 1528774916. It was assigned to this organization in the NPPES registry on January 30, 2023.
Where is Psychiatry And Wellness Of Georgia, LLC located?
Psychiatry And Wellness Of Georgia, LLC is located at 620 Colonial Park Dr Ste 100, Roswell, GA 30075. The listed phone number is (678) 439-0017.
What is Psychiatry And Wellness Of Georgia, LLC's specialty?
The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Child & Family, with taxonomy code 364SP0810X.
Is Psychiatry And Wellness Of Georgia, LLC enrolled in Medicare?
Yes. Psychiatry And Wellness Of Georgia, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Psychiatry And Wellness Of Georgia, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 4 Medicare specialties reassign their Medicare billing to Psychiatry And Wellness Of Georgia, 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. The largest specialties are Nurse Practitioner (5), Mental Health Counselor (3) and Clinical Social Worker (2). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Psychiatry And Wellness Of Georgia, LLC was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Psychiatry And Wellness Of Georgia, Llc · NPI 1528774916
Psychiatric/Mental Health, Child & Family organization in Roswell, Georgia. Organization record, active in the CMS NPPES registry since January 30, 2023.
## Identity
- **NPI:** 1528774916 (Entity type: Organization)
- **Enumerated:** January 30, 2023
- **Primary specialty:** Clinical Nurse Specialist - Psychiatric/Mental Health, Child & Family · taxonomy 364SP0810X
- **Organization subpart:** No
- **Authorized official:** John Kanyuira, PRESIDENT
## Practice location
- **Address:** 620 COLONIAL PARK DR STE 100, Roswell, GA 30075-3746
- **Phone:** (678) 439-0017 · **Fax:** (678) 884-0761
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Mental Health Counselor (3), Clinical Social Worker (2); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1528774916) · Data from the CMS NPPES public registry.