NPI age
16 years
Enumerated 2010-03-04
● Active Type 2 · Organization
Life Healing Center Pc
Life Healing Center Pc is 1 of 1678 psychiatry & neurology organizations in Georgia.
Primary specialty
Psychiatry & Neurology
Practice locations
3
2 secondary on file
Status
Active
No deactivations on record
Authorized official
Ahmed
Owner
Last NPPES update
2024-08-13
Source: monthly bulk 2026-05
How this organization compares
Across 1678 active psychiatry & neurology providers in Georgia.
NPI age
16 years
↓ 2 yr below median
Practice locations
3
2 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-03Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
2160 Fountain Dr
Snellville, GA 300787022
Mailing address
2160 Fountain Dr Ste 100
Snellville, GA 300787022
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
500 Plantation Park Dr
Loganville, GA 300524144
Location 3
1637 Athens Hwy Ste A
Grayson, GA 300171768
Authorized official
Muhammad Ahmed, MD
Owner
📞 6783448268
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Robin Boggess, NP Nurse Practitioner NPI 1235388935
- Amanda Childers Behavior Technician NPI 1568174811
- Melissa Gray, PMHNP Nurse Practitioner NPI 1457839219
- Jae Pak, M.D. Psychiatry & Neurology NPI 1740280551
- Kimberly Schiavoni, NP Nurse Practitioner NPI 1114308475
- Cathleen Scully, N.P. Nurse Practitioner NPI 1336129303
- Russell Wagner, M.D. Internal Medicine NPI 1730168832
Specialties
-
Psychiatry & Neurology PrimaryA Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1043302037 | INDIVIDUAL NPI |
| 05 (GA) | 985642402A |
Practice context
Multi-provider organization. 7 individual providers on file at this primary address. Plus 2 secondary practice locations.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.