Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Georgia Psych Services LLC

Organization Nurse Practitioner · NPI 1245801075

Georgia Psych Services LLC is a Nurse Practitioner in Locust Grove, Georgia. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4922 Bill Gardner Pkwy # 2
Locust Grove, GA 30248-3647
Phone: (330) 536-3746
Fax: (330) 267-4250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1245801075
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Rae — Ceo · (330) 536-3746
NPI enumeratedJuly 2, 2021
Last updated in NPPESAugust 24, 2021
Certification dateAugust 24, 2021
Mailing address3593 Medina Line Rd 181, Medina, OH 44256

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