PEDIATRIC AND FAMILY BEHAVIORAL HEALTH OF GEORGIA
NPI 1982216800
Psychiatry & Neurology - Psychiatry in Stockbridge, GA

Active since August 21, 2020
115 N PARK TRL STE 140, STOCKBRIDGE, GA 30281(404) 907-3982(678) 775-8877 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2023, Jan 18, 2023, Apr 27, 2022 and 2 more (5 updates tracked since 2020).

About Pediatric And Family Behavioral Health Of Georgia NPPES

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

PEDIATRIC AND FAMILY BEHAVIORAL HEALTH OF GEORGIA (NPI 1982216800) is a healthcare organization registered as a psychiatry in Stockbridge, Georgia and active in the NPI registry since August 2020. The organization lists Jovon Taylor, Director, as its authorized official.

NPPES Registry Identity

NPI1982216800
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NamePEDIATRIC AND FAMILY BEHAVIORAL HEALTH OF GEORGIA
Location Address115 N PARK TRL STE 140Stockbridge, GA 30281-7373
Mailing Address110 Walter Way Unit 2635Stockbridge, GA 30281-9526 · (404) 907-3982
Fax(678) 775-8877
Organization SubpartNo
Authorized OfficialJovon TaylorDirector · (404) 907-3982
Enumeration DateAugust 21, 2020
Last NPPES UpdateMarch 7, 20235 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2023
✔ NPI 1982216800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ 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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X
Also ListedLicensed Practical NurseTaxonomy 164W00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
115 N PARK TRL STE 140, Stockbridge, GA 30281

Other Identifiers 3

Other2019050849Ancc Certification
Other14596139Caqh
OtherRN233368GA · Rn/aprn License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pediatric And Family Behavioral Health Of Georgia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20211004001547Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pediatric And Family Behavioral Health Of Georgia, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1295372696
3379 PEACHTREE RD NE STE 700
Atlanta, GA 30326
(404) 692-0232
✔ PECOS19 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pediatric And Family Behavioral Health Of Georgia's NPI number?

The NPI number for Pediatric And Family Behavioral Health Of Georgia is 1982216800. It was assigned to this organization in the NPPES registry on August 21, 2020.

Where is Pediatric And Family Behavioral Health Of Georgia located?

Pediatric And Family Behavioral Health Of Georgia is located at 115 N Park Trl Ste 140, Stockbridge, GA 30281. The listed phone number is (404) 907-3982.

What is Pediatric And Family Behavioral Health Of Georgia's specialty?

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

Is Pediatric And Family Behavioral Health Of Georgia enrolled in Medicare?

Yes. Pediatric And Family Behavioral Health Of Georgia is registered in the Medicare PECOS enrollment system.

When is Pediatric And Family Behavioral Health Of Georgia's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Pediatric And Family Behavioral Health Of Georgia?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Pediatric And Family Behavioral Health Of Georgia. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pediatric And Family Behavioral Health Of Georgia was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.