SOUTHSIDE PSYCHIATRIC CONSULTANTS LLC
NPI 1902670490
Nurse Practitioner - Psychiatric/Mental Health in Riverdale, GA
- Organization
- Nurse Practitioner
- Psychiatric/Mental Health
About SOUTHSIDE PSYCHIATRIC CONSULTANTS LLC
This page provides the complete NPI Profile along with additional information for Southside Psychiatric Consultants Llc, a provider established in Riverdale, Georgia operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1902670490 assigned on November 2023. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mr. Ralph Ogwotu Np (Business Owner)
- NPI
- 1902670490 Verify this NPI
- Provider Name
- SOUTHSIDE PSYCHIATRIC CONSULTANTS LLC
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 6572 RIVER PARK DR STE 101G RIVERDALE, GA 30274
- Location Phone
- (404) 734-4445
- Location Fax
- (404) 745-0552
- Mailing Address
- 110 W PIER WAY FAYETTEVILLE, GA 30214
- Mailing Phone
- (404) 734-4666
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-14-2023
- Last Update Date
- 06-17-2025
- Code Navigator
A nurse practitioner (NP) like Southside Psychiatric Consultants Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251S00000X | Agencies | Community/Behavioral Health | |
| 2 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902670490, enumerated as an "organization" on November 14, 2023.
The provider is located at 6572 RIVER PARK DR STE 101G RIVERDALE, GA 30274 and the phone number is (404) 734-4445.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
