Alaina Samples Conner, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY004369 Issued in GA

Practice address

601 Candler
Gainesville, GA 30501

Phone

(770) 569-3839

NPI assigned

Jun 18, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Alaina Samples Conner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 16, 2024 through Jul 16, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1104147651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 CANDLER ST",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013334",
            "telephone_number": "770-569-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CANDLER",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-569-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "ALAINA",
        "middle_name": "SAMPLES",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2022-06-03",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005800",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "GA",
            "license": "PSY004369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALAINA",
            "last_name": "CONNER",
            "middle_name": "SAMPLES",
            "prefix": "DR.",
            "credential": "ALAINA SAMPLES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Community Clinics of Georgia, LLC
• Community Health Concepts, LLC
• Complete Health Diagnostics, Inc.
• Comprehensive Nursing Care Inc.
• John Alexander Connell, M.D.
• Seth G Conner, PA
• Michael Perry Connor, MD
• Margaret Lammers Conrad I, RDH,BS
• Jessica Raines Conrey, PHARM.D.
• Ann L Contrucci, M.D.

• Clinical Neuropsychologist in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Clinical Neuropsychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.