OPTIMAL MIND PSYCHIATRY LLC
NPI 1700567906
Nurse Practitioner - Psychiatric/Mental Health in Mcdonough, GA

Active since July 31, 2023
1505 PENNSYLVANIA AVE, MCDONOUGH, GA 30253(404) 218-8934(678) 603-2086 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Optimal Mind Psychiatry Llc NPPES

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

OPTIMAL MIND PSYCHIATRY LLC (NPI 1700567906) is a healthcare organization registered as a psychiatric/mental health in Mcdonough, Georgia and active in the NPI registry since July 2023. The organization lists Onyebuchi Nwaokolo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700567906
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameOPTIMAL MIND PSYCHIATRY LLC
Location Address1505 PENNSYLVANIA AVEMcdonough, GA 30253-9114
Mailing Address1705 Williamson Rd Ste 101Griffin, GA 30224-5471 · (404) 218-8934 · Fax (678) 603-2086
Fax(678) 603-2086
Organization SubpartNo
Authorized OfficialOnyebuchi NwaokoloCeo · (404) 218-8934
Enumeration DateJuly 31, 2023
NPPES CertifiedJuly 30, 2023
✔ NPI 1700567906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1505 PENNSYLVANIA AVE, Mcdonough, GA 30253

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 MULTIPLE 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)

Optimal Mind Psychiatry Llc 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 Optimal Mind Psychiatry LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1639603707
1705 WILLIAMSON RD STE 101
Griffin, GA 30224
(678) 603-2898
✔ PECOS17 mi
Nurse Practitioner
NPI 1649787102
1766 LAWRENCEVILLE HWY
Decatur, GA 30033
(470) 746-3142
✔ PECOS✔ Accepts Medicare26 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 Optimal Mind Psychiatry LLC's NPI number?

The NPI number for Optimal Mind Psychiatry LLC is 1700567906. It was assigned to this organization in the NPPES registry on July 31, 2023.

Where is Optimal Mind Psychiatry LLC located?

Optimal Mind Psychiatry LLC is located at 1505 Pennsylvania Ave, Mcdonough, GA 30253. The listed phone number is (404) 218-8934.

What is Optimal Mind Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Optimal Mind Psychiatry LLC enrolled in Medicare?

Yes. Optimal Mind Psychiatry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Optimal Mind Psychiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Optimal Mind Psychiatry 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Optimal Mind Psychiatry LLC was last updated on July 31, 2023. 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.