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ASCENSION PSYCHIATRIC SERVICES LLC
NPI 1720748262
Nurse Practitioner - Psychiatric/Mental Health in Fayetteville, GA

Active since December 25, 2021
330 PHILLIPS DR, FAYETTEVILLE, GA 30214(310) 809-6033 Get Directions Write a Review

NPPES record last updated: December 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1720748262
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameASCENSION PSYCHIATRIC SERVICES LLC
Location Address330 PHILLIPS DRFayetteville, GA 30214-4375
Mailing Address330 Phillips DrFayetteville, GA 30214-4375 · (310) 809-6033
Phone(310) 809-6033
Organization SubpartNo
Authorized OfficialAnthony Hames HallCeo · (310) 890-6033
Enumeration DateDecember 25, 2021
NPPES CertifiedDecember 25, 2021
✔ NPI 1720748262 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
330 PHILLIPS DR, Fayetteville, GA 30214
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Other Identifiers 1

Medicaid1558904169GA

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 SINGLE SPECIALTY GROUP

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.

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 with the weekly NPPES data releases published by CMS.