SOUTHSIDE PSYCHIATRIC CONSULTANTS LLC
NPI 1902670490
Nurse Practitioner - Psychiatric/Mental Health in Riverdale, GA

Q: What is Southside Psychiatric Consultants LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since November 14, 2023

6572 RIVER PARK DR STE 101G, RIVERDALE, GA 30274(404) 734-4445(404) 745-0552 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2025, Jul 10, 2024, Feb 6, 2024 and 1 more (4 updates tracked since 2023).

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About Southside Psychiatric Consultants Llc NPPES

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

SOUTHSIDE PSYCHIATRIC CONSULTANTS LLC (NPI 1902670490), doing business as Business Owner, is a healthcare organization registered as a psychiatric/mental health in Riverdale, Georgia and active in the NPI registry since November 2023. The organization lists Ralph Ogwotu, Business Owner, as its authorized official.

NPPES Registry Identity

NPI1902670490

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameSOUTHSIDE PSYCHIATRIC CONSULTANTS LLC

Location Address6572 RIVER PARK DR STE 101GRiverdale, GA 30274-2214

Mailing Address110 W Pier WayFayetteville, GA 30214-4617 · (404) 734-4666

Phone(404) 734-4445

Fax(404) 745-0552

Organization SubpartNo

Authorized OfficialRalph OgwotuBusiness Owner · (404) 734-4445

Enumeration DateNovember 14, 2023

Last NPPES UpdateJune 17, 20254 updates tracked since enumeration

NPPES CertifiedJune 17, 2025

✔ NPI 1902670490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

6572 RIVER PARK DR STE 101G, Riverdale, GA 30274

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Other Names 1

Doing Business AsBusiness Owner

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 Southside Psychiatric Consultants LLC's NPI number?

The NPI number for Southside Psychiatric Consultants LLC is 1902670490. It was assigned to this organization in the NPPES registry on November 14, 2023. The provider is doing business as Business Owner.

Where is Southside Psychiatric Consultants LLC located?

Southside Psychiatric Consultants LLC is located at 6572 River Park Dr Ste 101G, Riverdale, GA 30274. The listed phone number is (404) 734-4445.

What is Southside Psychiatric Consultants 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 Southside Psychiatric Consultants LLC was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.