Psych Atlanta, P.C.
NPI 1184756090 · Psychiatry Physician · Marietta, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Psych Atlanta, P.C. is a Psychiatry Physician organization in Marietta, GA (NPI 1184756090).
Provider details
- NPI number
- 1184756090
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Micheal Banov, Owner(770) 422-2009
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
7 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (6)
- 1 Baltimore Pl Nw Ste 200Atlanta, GA 30308-2114Phone: (470) 737-1606Fax: (833) 973-4256
- 15 Medical Dr Ne Ste 350Cartersville, GA 30121-8005Phone: (470) 737-1606Fax: (833) 973-4256
- 6025 Professional Pkwy Ste 301Douglasville, GA 30134-5610Phone: (770) 438-1799Fax: (770) 825-9046
- 10475 Medlock Bridge Rd Ste 420Johns Creek, GA 30097-4439Phone: (470) 737-1569Fax: (833) 973-2670
- 11755 Pointe Pl Ste A1Roswell, GA 30076-4657Phone: (770) 667-1264Fax: (770) 667-2238
- 1314 Concord Rd SeSmyrna, GA 30080-4361Phone: (770) 438-1799Fax: (770) 825-9046
Registry dates
- Enumerated
- 2007-03-09
- Last updated
- 2026-03-24
- Certified
- 2026-03-24
Frequently asked questions
- What is Psych Atlanta, P.C.'s NPI number?
- Psych Atlanta, P.C.'s National Provider Identifier (NPI) is 1184756090, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Psych Atlanta, P.C.?
- Psych Atlanta, P.C. is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Psych Atlanta, P.C. located?
- Psych Atlanta, P.C.'s practice location on file with NPPES is 1012 Coggins Place, Marietta, GA 30060-1306.
- What is Psych Atlanta, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Psych Atlanta, P.C. is (770) 422-2009.
- Does Psych Atlanta, P.C. accept Medicare?
- Psych Atlanta, P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Psych Atlanta, P.C.?
- The authorized official listed on Psych Atlanta, P.C.'s NPPES record is Micheal Banov, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Psych Atlanta, P.C.'s NPI active?
- Yes — Psych Atlanta, P.C.'s NPI (1184756090) is active in the NPPES registry as of the last update on 2026-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.