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SOUTHERN BEHAVIORAL HEALTHCARE,P.C
NPI 1598732869
Psychiatry & Neurology - Child & Adolescent Psychiatry in Fayetteville, GA

Active since March 04, 2006
110 BRAXTON CT, FAYETTEVILLE, GA 30214(678) 610-7100(678) 610-7111 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 14, 2022, Oct 10, 2019, Feb 16, 2019 (3 updates tracked since 2019).

About Southern Behavioral Healthcare,p.c NPPES

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

SOUTHERN BEHAVIORAL HEALTHCARE,P.C (NPI 1598732869) is a healthcare organization registered as a child & adolescent psychiatry in Fayetteville, Georgia and active in the NPI registry since March 2006. The organization lists Salewa Taiwo, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1598732869
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameSOUTHERN BEHAVIORAL HEALTHCARE,P.C
Location Address110 BRAXTON CTFayetteville, GA 30214-1968
Mailing Address110 Braxton CtFayetteville, GA 30214-1968 · (678) 610-7100 · Fax (678) 610-7111
Phone(678) 610-7100
Fax(678) 610-7111
Organization SubpartNo
Authorized OfficialSalewa TaiwoOffice Manager · (678) 610-7100
Enumeration DateMarch 4, 2006
Last NPPES UpdateSeptember 14, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2022
✔ NPI 1598732869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in GA · 051606
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 64622 (GA)
110 BRAXTON CT, Fayetteville, GA 30214
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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)

Southern Behavioral Healthcare,p.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Southern Behavioral Healthcare,p.C, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Olufemi Taiwo, M.D
Psychiatry
NPI 1225005598
110 BRAXTON CT
Fayetteville, GA 30214
(678) 610-7100
✔ PECOS✔ Accepts MedicareSame address
Karen Amos, APRN
Nurse Practitioner
NPI 1851830533
500 LANIER AVE W SUITE 301
Fayetteville, GA 30214
(770) 461-6422
✔ PECOS✔ Accepts Medicare0.1 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 Southern Behavioral Healthcare,p.C's NPI number?

The NPI number for Southern Behavioral Healthcare,p.C is 1598732869. It was assigned to this organization in the NPPES registry on March 4, 2006.

Where is Southern Behavioral Healthcare,p.C located?

Southern Behavioral Healthcare,p.C is located at 110 Braxton Ct, Fayetteville, GA 30214. The listed phone number is (678) 610-7100.

What is Southern Behavioral Healthcare,p.C's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Southern Behavioral Healthcare,p.C enrolled in Medicare?

Yes. Southern Behavioral Healthcare,p.C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Behavioral Healthcare,p.C?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Southern Behavioral Healthcare,p.C, in Nurse Practitioner and Psychiatry. 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 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southern Behavioral Healthcare,p.C accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Southern Behavioral Healthcare,p.C 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 Southern Behavioral Healthcare,p.C was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.