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A BEAUTIFUL MIND PSYCHIATRY
NPI 1861266397
Psychiatry & Neurology - Psychiatry in Commerce, GA

Active since November 15, 2023CLIA 11D2306223 · Waiver
1732 N BROAD ST, COMMERCE, GA 30529(706) 449-2884 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 16, 2024, Apr 12, 2024, Nov 15, 2023 (3 updates tracked since 2023).

About A Beautiful Mind Psychiatry NPPES

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

A BEAUTIFUL MIND PSYCHIATRY (NPI 1861266397) is a healthcare organization registered as a psychiatry in Commerce, Georgia and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through June 12, 2028 and lists Charmaine Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1861266397
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameA BEAUTIFUL MIND PSYCHIATRY
Location Address1732 N BROAD STCommerce, GA 30529-1903
Mailing Address4395 Fulton Industrial Blvd Sw Ste DAtlanta, GA 30336-1955 · (706) 449-2884
Phone(706) 449-2884
Organization SubpartNo
Authorized OfficialCharmaine WilsonOwner · (706) 449-2884
Enumeration DateNovember 15, 2023
Last NPPES UpdateApril 16, 20243 updates tracked since enumeration
NPPES CertifiedApril 16, 2024
✔ NPI 1861266397 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.
1732 N BROAD ST, Commerce, GA 30529
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2306223

A Beautiful Mind Psychiatry PLLC · Riverdale, GA
Active · expires Jun 12, 2028
CLIA Number11D2306223
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2026
Certificate Expiration DateJune 12, 2028
Laboratory DirectorCharmaine Wilson
Laboratory Phone(706) 449-2884
Laboratory LocationA Beautiful Mind Psychiatry PLLC948 Highway 138, Riverdale, GA 30296
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 A Beautiful Mind Psychiatry's NPI number?

The NPI number for A Beautiful Mind Psychiatry is 1861266397. It was assigned to this organization in the NPPES registry on November 15, 2023.

Where is A Beautiful Mind Psychiatry located?

A Beautiful Mind Psychiatry is located at 1732 N Broad St, Commerce, GA 30529. The listed phone number is (706) 449-2884.

What is A Beautiful Mind Psychiatry's specialty?

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

Does A Beautiful Mind Psychiatry hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2306223) is associated with this NPI, valid through June 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for A Beautiful Mind Psychiatry was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.