ACHIEVING WELLNESS HOLISTICALLY — NPI 1184580169 (Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician) in JOHNS CREEK, GA)

CMS-1500 Box 24J / 33a • NPI

1184580169

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

2084P0800X (CMS 26)

Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)

Box 32 Service Location & ZIP+4

6470 E JOHNS XING STE 430, JOHNS CREEK, GA, 30097-1545

✓ 9-Digit EDI 837 ZIP+4 (30097-1545)

Practice Phone & Referral Fax

(919) 576-2607

Fax: (919) 935-0858

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1184580169 (ACHIEVING WELLNESS HOLISTICALLY) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1184580169` (NPI-2 Organization / Facility)
Provider / Legal Name	ACHIEVING WELLNESS HOLISTICALLY
Plain-English Specialty	Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician) NUCC Code: `2084P0800X` (Psychiatry & Neurology, Psychiatry)
Certifying / Licensing Body	American Board of Psychiatry and Neurology (ABPN)
Practice Location Address	6470 E JOHNS XING STE 430, JOHNS CREEK, GA, 30097-1545
Practice Telephone / Fax	Tel: (919) 576-2607 \| Fax: (919) 935-0858
Administrative Mailing Address	501 W WILLIAMS ST UNIT 1036, APEX, NC, 27502-2297
Enumeration & Last Sync	Enumerated: 2026-01-02 \| CMS Record Updated: 2026-01-02
Authorized Official	SAMUEL RAYAPATI (Medical Doctor)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

6470 E JOHNS XING STE 430, JOHNS CREEK, GA, 30097-1545

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Plain-English Taxonomy & CMS Crosswalk (2084P0800X)

What Does Taxonomy Code 2084P0800X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2084P0800X translates to:
"Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 26 (Physician/Psychiatry) • CMS Code 86 (Physician/Neuropsychiatry)
Certifying / Accrediting Authority: American Board of Psychiatry and Neurology (ABPN)
Clinical Scope: Depression, generalized anxiety, panic attacks, insomnia, bipolar disorder, OCD, PTSD, or medical recovery from substance dependence.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ACHIEVING WELLNESS HOLISTICALLY)

Typical CPT / Diagnostic Procedures:

Comprehensive Psychiatric Diagnostic Evaluation (CPT 90792)
Psychopharmacological Management & Supportive Psychotherapy
Medication-Assisted Treatment (MAT) for Substance Use Disorders

Common Therapeutic Classes:

SSRIs & SNRIs (Sertraline, Escitalopram, Fluoxetine, Duloxetine)
Bupropion, Mirtazapine & Atypical Antipsychotics (Aripiprazole, Quetiapine)
Buprenorphine/Naloxone & Naltrexone (Addiction Recovery)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`101YA0400X` — Counselor, Addiction (Substance Use Disorder) Plain English: Licensed & Credentialed Counselor, Addiction (Substance Use Disorder)	State: N/A \| License: `Verified` \| Primary: Secondary
`101YM0800X` — Counselor, Mental Health Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor	State: N/A \| License: `Verified` \| Primary: Secondary
`101YP1600X` — Counselor, Pastoral Plain English: Licensed & Credentialed Counselor, Pastoral	State: N/A \| License: `Verified` \| Primary: Secondary
`101YP2500X` — Counselor, Professional Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor	State: N/A \| License: `Verified` \| Primary: Secondary
`102L00000X` — Psychoanalyst Plain English: Licensed & Credentialed Psychoanalyst	State: N/A \| License: `Verified` \| Primary: Secondary
`103TP2701X` — Psychologist, Group Psychotherapy Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Group Psychotherapy	State: N/A \| License: `Verified` \| Primary: Secondary
`363LP0808X` — Nurse Practitioner, Psych/Mental Health Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health	State: N/A \| License: `Verified` \| Primary: Secondary
`2084P0800X` — Psychiatry & Neurology, Psychiatry Plain English: Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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ACHIEVING WELLNESS HOLISTICALLY (NPI #1184580169)