Neurobloom Autism and Pediatrics Solutions

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NEUROBLOOM AUTISM AND PEDIATRICS SOLUTIONS

Doing business as

NeuroBloom Autism and Pediatrics Solutions

Practice address

108 Douglas Fir Dr
Jackson, GA 30233-2177

Phone

(470) 473-8257

NPI assigned

Jun 27, 2025

Organization subpart

No

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

Authorized official

Name

Keyerra AdamsNPI 1588537427

Title

Co Owner

Phone

(470) 473-8257

Specialties & licenses 2

Addresses

Other names 1

• NeuroBloom Autism and Pediatrics Solutions Doing business as

Practitioners 1

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

• Keyerra Adams

  • Behavior Technician
  • Jackson, GA
  • NPI 1588537427
  NPD Authorized official

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

{
    "created_epoch": "1750982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1124916002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 DOUGLAS FIR DR",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302332177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 DOUGLAS FIR DR",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302332177",
            "telephone_number": "470-473-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROBLOOM AUTISM AND PEDIATRICS SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "KEYERRA",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "470-473-8257"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroBloom Autism and Pediatrics Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Jackson, GA
• Providers in Jackson, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.