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DR. COURTLAND STEVENS HYATT PHD
NPI 1548977507
Psychologist - Clinical in Atlanta, GA

Active since October 31, 2022PECOS EnrolledAccepts Medicare Assignment
12 EXECUTIVE PARK DR NE FL 3, ATLANTA, GA 30329(888) 514-5345 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2022, Oct 31, 2022 (2 updates tracked since 2022).

About Dr. Courtland Stevens Hyatt Phd NPPES

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

DR. COURTLAND STEVENS HYATT PHD (NPI 1548977507) is an individual clinical provider in Atlanta, Georgia, licensed in Georgia (NOTCOMPLETEDYET) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1548977507
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. COURTLAND STEVENS HYATTCredential: PHD
Location Address12 EXECUTIVE PARK DR NE FL 3Atlanta, GA 30329-2206
Mailing Address933 Ladson CtDecatur, GA 30033-5387 · (678) 983-0961
Phone(888) 514-5345
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 31, 2022
Last NPPES UpdateNovember 22, 20222 updates tracked since enumeration
NPPES CertifiedNovember 22, 2022
✔ NPI 1548977507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in GA · NOTCOMPLETEDYET✔ Licensed in GA · NOT.YET.COMPLETED
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
12 EXECUTIVE PARK DR NE FL 3, Atlanta, GA 30329
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Courtland Stevens Hyatt Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779957782
PECOS Enrollment IDI20230314002454
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30329 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JESSICA ROSE MORGAN GOODNIGHT
Psychologist (Clinical)
12 EXECUTIVE PARK DR NE FL 3
ATLANTA, GA 30329
Dekalb County (404) 778-0923
DR. SHEILA RAUCH PH.D.
Psychologist (Clinical)
12 EXECUTIVE PARK DR NE FL 3
ATLANTA, GA 30329
Dekalb County (404) 778-1428
MANSI MEHTA PHD
Psychologist (Clinical)
12 EXECUTIVE PARK DR NE FL 3
ATLANTA, GA 30329
Dekalb County (404) 712-0138
KARIN MARIA NYLOCKS PHD
Psychologist (Clinical)
12 EXECUTIVE PARK DR NE FL 3
ATLANTA, GA 30329
Dekalb County (404) 727-4965
MS. CAROLINE PEACOCK LCSW
Social Worker (Clinical)
12 EXECUTIVE PARK DR NE FL 3
ATLANTA, GA 30329
Dekalb County (917) 770-3885
MARK STEVEN BURTON PHD
Psychologist (Clinical)
12 EXECUTIVE PARK DR NE FL 3
ATLANTA, GA 30329
Dekalb County (404) 791-1576
CHARLOTTE YASINSKI PHD
Psychologist
12 EXECUTIVE PARK DR NE FL 3
ATLANTA, GA 30329
Dekalb County (404) 712-2013
SAMANTHA PATTON PHD
Psychologist (Clinical)
12 EXECUTIVE PARK DR NE FL 3
ATLANTA, GA 30329
Dekalb County (404) 778-0923

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 Courtland Hyatt's NPI number?

The NPI number for Courtland Hyatt is 1548977507. It was assigned to this individual provider in the NPPES registry on October 31, 2022.

Where is Courtland Hyatt located?

Courtland Hyatt practices at 12 Executive Park Dr NE Fl 3, Atlanta, GA 30329. The listed phone number is (888) 514-5345.

What is Courtland Hyatt's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Courtland Hyatt enrolled in Medicare?

Yes. Courtland Hyatt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Courtland Hyatt was last updated on November 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.