ASCENSION PSYCHIATRIC SERVICES LLC
NPI 1720748262
Nurse Practitioner - Psychiatric/Mental Health in Fayetteville, GA
About Ascension Psychiatric Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASCENSION PSYCHIATRIC SERVICES LLC (NPI 1720748262) is a healthcare organization registered as a psychiatric/mental health in Fayetteville, Georgia and active in the NPI registry since December 2021. The organization lists Anthony Hames Hall, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Ascension Psychiatric Services Llc 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 Ascension Psychiatric Services LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Ascension Psychiatric Services LLC's NPI number?
The NPI number for Ascension Psychiatric Services LLC is 1720748262. It was assigned to this organization in the NPPES registry on December 25, 2021.
Where is Ascension Psychiatric Services LLC located?
Ascension Psychiatric Services LLC is located at 330 Phillips Dr, Fayetteville, GA 30214. The listed phone number is (310) 809-6033.
What is Ascension Psychiatric Services LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Ascension Psychiatric Services LLC enrolled in Medicare?
Yes. Ascension Psychiatric Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ascension Psychiatric Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ascension Psychiatric Services 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 Ascension Psychiatric Services LLC was last updated on December 25, 2021. 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.
# Ascension Psychiatric Services Llc · NPI 1720748262
Psychiatric/Mental Health organization in Fayetteville, Georgia. Organization record, active in the CMS NPPES registry since December 25, 2021.
## Identity
- **NPI:** 1720748262 (Entity type: Organization)
- **Enumerated:** December 25, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Anthony Hall, CEO
## Practice location
- **Address:** 330 PHILLIPS DR, Fayetteville, GA 30214-4375
- **Phone:** (310) 809-6033
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 25, 2021
- **Other identifiers:** Medicaid 1558904169 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1720748262) · Data from the CMS NPPES public registry.