GROUNDED PSYCHIATRY LLC
NPI 1760356067
Psychiatry & Neurology - Psychiatry in Atlanta, GA

Active since October 01, 2025
4300 PACES FERRY RD SE STE 500, ATLANTA, GA 30339(770) 404-6653(770) 404-6654 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Grounded Psychiatry Llc NPPES

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

GROUNDED PSYCHIATRY LLC (NPI 1760356067) is a healthcare organization registered as a psychiatry in Atlanta, Georgia and active in the NPI registry since October 2025. The organization lists Jessica Kettell, Founder/ceo, as its authorized official.

NPPES Registry Identity

NPI1760356067
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameGROUNDED PSYCHIATRY LLC
Location Address4300 PACES FERRY RD SE STE 500Atlanta, GA 30339-5714
Mailing Address4300 Paces Ferry Rd Se Ste 500Atlanta, GA 30339-5714 · (530) 395-3144 · Fax (770) 404-6654
Fax(770) 404-6654
Organization SubpartNo
Authorized OfficialJessica KettellFounder/ceo · (770) 404-6653
Enumeration DateOctober 1, 2025
Last NPPES UpdateApril 22, 2026
NPPES CertifiedApril 22, 2026
✔ NPI 1760356067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4300 PACES FERRY RD SE STE 500, Atlanta, GA 30339

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grounded 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 Grounded Psychiatry LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1396690707
4300 PACES FERRY RD SE STE 500
Atlanta, GA 30339
(770) 404-6653
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1982320685
465 WINN WAY STE 221
Decatur, GA 30030
(888) 588-8995
✔ PECOS✔ Accepts Medicare12 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 Grounded Psychiatry LLC's NPI number?

The NPI number for Grounded Psychiatry LLC is 1760356067. It was assigned to this organization in the NPPES registry on October 1, 2025.

Where is Grounded Psychiatry LLC located?

Grounded Psychiatry LLC is located at 4300 Paces Ferry Rd SE Ste 500, Atlanta, GA 30339. The listed phone number is (770) 404-6653.

What is Grounded Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Grounded Psychiatry LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Grounded Psychiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Grounded 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Grounded Psychiatry LLC was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.