John P Shallcross, Psy.D., P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

001666 Issued in GA

Legal business name

JOHN P SHALLCROSS, PSY.D., P.C.

Practice address

11755 Pointe PL
Roswell, GA 30076-4656

Phone

(770) 663-0923

Fax

(770) 663-6256

NPI assigned

Apr 20, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Post Shallcross, PSY.D.NPI 1477696532

Title

President

Phone

(770) 663-0923

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Post Shallcross, PSY.D.

  • Clinical Psychologist
  • Roswell, GA
  • NPI 1477696532
  Medicare reassignment NPD Authorized official
• John Cotton Shallcross, MD

  • Gastroenterology Physician
  • Birmingham, AL
  • NPI 1417937731
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1023309481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 HIGHGROVE CLUB DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046983",
            "telephone_number": "770-663-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11755 POINTE PL",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764656",
            "telephone_number": "770-663-0923",
            "fax_number": "770-663-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P SHALLCROSS, PSY.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "SHALLCROSS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "POST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-663-0923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "001666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695912B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jmanor LLR
• Harry N John, M.D.
• Jace Anthony Johns-Cooper, MS, LPC
• Samerah Johns, LPN
• Brian Douglas Johnson, DMD
• Carol Ann Johnson, AU.D., F-AAA

• Psychologist in Roswell, GA
• Providers in Roswell, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.