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

Southside Psychiatric Consultants LLC

Organization Community/Behavioral Health Agency · NPI 1902670490

Southside Psychiatric Consultants LLC is a Community/Behavioral Health Agency in Riverdale, Georgia. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
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

6572 River Park Dr Ste 101G
Riverdale, GA 30274-2214
Phone: (404) 734-4445
Fax: (404) 745-0552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Community/Behavioral Health Agency Taxonomy 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1902670490
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ralph Ogwotu — Business Owner · (404) 734-4445
Other names Business Owner
NPI enumeratedNovember 14, 2023
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address110 W Pier Way, Fayetteville, GA 30214-4617

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