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

Livingston Raymond, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1255082814

Livingston Raymond, PMHNP is a Nurse Practitioner in Kennesaw, Georgia. Qualified in 2020, 6 years ago. Practices with Brightside Medical of Michigan PC, a 93-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia and New York.

Years since qualifying
6
Licensed in
GA, NY
In the registry since
2022
Specialties on file
3
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

4255 Wade Green Rd NW Ste 414
Kennesaw, GA 30144-1763
Phone: (678) 213-2194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3002 Valley View Cir, Powder Springs, GA 30127-1865 — (404) 406-0651

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN-NP234943 (GA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence RN234943 (GA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 404630 (NY)

Record details

NPI number1255082814
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedJanuary 15, 2022
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Brightside Medical Of Michigan Pc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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