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PROMEDICA PSYCHIATRY GROUP
NPI 1922036508
Counselor - Mental Health in Loganville, GA

Active since June 30, 2006
2430 TUCKER DR, BLDG A, LOGANVILLE, GA 30052(770) 554-8812(770) 554-9810 Get Directions Write a Review

NPPES record last updated: April 28, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Promedica Psychiatry Group NPPES

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

PROMEDICA PSYCHIATRY GROUP (NPI 1922036508) is a healthcare organization registered as a mental health in Loganville, Georgia and active in the NPI registry since June 2006. The organization lists Kimberly H. Littrell, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1922036508
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NamePROMEDICA, INC.
Location Address2430 TUCKER DR, BLDG ALoganville, GA 30052-4390
Mailing Address2430 Tucker Dr, Bldg ALoganville, GA 30052-4390 · (770) 554-8812 · Fax (770) 554-9810
Phone(770) 554-8812
Fax(770) 554-9810
Organization SubpartNo
Authorized OfficialKimberly H. LittrellPresident & Ceo · (770) 554-8812
Enumeration DateJune 30, 2006
Last NPPES UpdateApril 28, 2008
✔ NPI 1922036508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · 029689
2430 TUCKER DR, Loganville, GA 30052
Open in Google Maps ↗

Other Names 1

Doing Business AsPromedica Psychiatry Group

Other Identifiers 8

Medicare ID-Type UnspecifiedGRP2921GA
Medicare UPIND40269GA
Medicaid00345408AGA
Medicare PIN89BBBBHGA
Medicare PIN89BBBLLGA
Medicare PIN26BDFRZGA
Medicare PINGRP2921GA
Medicare PIN511I890007GA

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

Other Providers at the Same Location NPPES 3

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

MS. KIMBERLY HARRELL LITTRELL APRN
Counselor (Mental Health)
2430 TUCKER DR, BLDG A
LOGANVILLE, GA 30052
Gwinnett County (770) 554-8812
DR. STEPHEN G PREAS M.D.
Psychiatry & Neurology (Psychiatry)
2430 TUCKER DR, BLDG A
LOGANVILLE, GA 30052
Gwinnett County (770) 554-8812
RICHARD GEORGE PETTY M.D.
Psychiatry & Neurology (Psychiatry)
2430 TUCKER DR, BLDG A
LOGANVILLE, GA 30052
Gwinnett County (770) 554-8812

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 Promedica, Inc.'s NPI number?

The NPI number for Promedica, Inc. is 1922036508. It was assigned to this organization in the NPPES registry on June 30, 2006. The provider is doing business as Promedica Psychiatry Group.

Where is Promedica, Inc. located?

Promedica, Inc. is located at 2430 Tucker Dr Bldg A, Loganville, GA 30052. The listed phone number is (770) 554-8812.

What is Promedica, Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Promedica, Inc. was last updated on April 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.