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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SOUTHERN GRACE PSYCHIATRY LLC
NPI 1760389100
Nurse Practitioner - Psychiatric/Mental Health in Conyers, GA

Active since October 20, 2026
1775 PARKER RD SE STE 210, CONYERS, GA 30094(754) 364-7252 Get Directions Write a Review

NPPES record added: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southern Grace Psychiatry Llc NPPES

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

SOUTHERN GRACE PSYCHIATRY LLC (NPI 1760389100) is a healthcare organization registered as a psychiatric/mental health in Conyers, Georgia and active in the NPI registry since October 2026. The organization lists Danielle Evette Street, Owner, as its authorized official.

NPPES Registry Identity

NPI1760389100
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSOUTHERN GRACE PSYCHIATRY LLC
Location Address1775 PARKER RD SE STE 210Conyers, GA 30094-6654
Mailing Address1775 Parker Rd Se Ste 210Conyers, GA 30094-6654 · (754) 364-7252
Phone(754) 364-7252
Organization SubpartNo
Authorized OfficialDanielle Evette StreetOwner · (754) 264-7252
Enumeration DateOctober 20, 2026
NPPES CertifiedOctober 20, 2026
✔ NPI 1760389100 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
1775 PARKER RD SE STE 210, Conyers, GA 30094
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRYSTAL N. BROUGHTON
Counselor (Professional)
1775 PARKER RD SE STE 210
CONYERS, GA 30094
Rockdale County (470) 967-8663
DANIELLE EVETTE STREET APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1775 PARKER RD SE STE 210
CONYERS, GA 30094
Rockdale County (561) 308-1998
GRACEFUL SERENITY COUNSELING LLC
Counselor (Professional)
1775 PARKER RD SE STE 210
CONYERS, GA 30094
Rockdale County (678) 807-9594
RENEW TRANQUILITY, LLC
Clinic/Center (Adult Mental Health)
1775 PARKER RD SE STE 210
CONYERS, GA 30094
Rockdale County (470) 430-4948
RONNETTE FRANK
Registered Nurse
1775 PARKER RD SE STE 210
CONYERS, GA 30094
Rockdale County (770) 731-7700
HORIZON HOSPICE, INC
Hospice Care, Community Based
1775 PARKER RD SE STE 210
CONYERS, GA 30094
Rockdale County (404) 403-0189
SHANELLE BROWN BEST
Social Worker (Clinical)
1775 PARKER RD SE STE 210
CONYERS, GA 30094
Rockdale County (574) 301-9136
HUTCHINSON CARE NETWORK INC
Home Health
1775 PARKER RD SE STE 210
CONYERS, GA 30094
Rockdale County (678) 315-3656

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 Grace Psychiatry LLC's NPI number?

The NPI number for Southern Grace Psychiatry LLC is 1760389100. It was assigned to this organization in the NPPES registry on October 20, 2026.

Where is Southern Grace Psychiatry LLC located?

Southern Grace Psychiatry LLC is located at 1775 Parker Rd SE Ste 210, Conyers, GA 30094. The listed phone number is (754) 364-7252.

What is Southern Grace Psychiatry 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 Southern Grace Psychiatry LLC was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.