Southern Behavioral Healthcare,p.c
NPI 1598732869 · Child & Adolescent Psychiatry Physician · Fayetteville, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Behavioral Healthcare,p.c is a Child & Adolescent Psychiatry Physician organization in Fayetteville, GA (NPI 1598732869).
Provider details
- NPI number
- 1598732869
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Salewa Taiwo, Office Manager(678) 610-7100
- License
- 64622 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2006-03-04
- Last updated
- 2022-09-14
- Certified
- 2022-09-14
Frequently asked questions
- What is Southern Behavioral Healthcare,p.c's NPI number?
- Southern Behavioral Healthcare,p.c's National Provider Identifier (NPI) is 1598732869, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Behavioral Healthcare,p.c?
- Southern Behavioral Healthcare,p.c is classified in the NPPES registry as Child & Adolescent Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Behavioral Healthcare,p.c located?
- Southern Behavioral Healthcare,p.c's practice location on file with NPPES is 110 Braxton Ct, Fayetteville, GA 30214-1968.
- What is Southern Behavioral Healthcare,p.c's phone number?
- The practice phone number listed in the NPPES registry for Southern Behavioral Healthcare,p.c is (678) 610-7100.
- Does Southern Behavioral Healthcare,p.c accept Medicare?
- Southern Behavioral Healthcare,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 Southern Behavioral Healthcare,p.c?
- The authorized official listed on Southern Behavioral Healthcare,p.c's NPPES record is Salewa Taiwo, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Behavioral Healthcare,p.c's NPI active?
- Yes — Southern Behavioral Healthcare,p.c's NPI (1598732869) is active in the NPPES registry as of the last update on 2022-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.