Active NPI
Gary James, PSYD
- Clinical Neuropsychologist
- Atlanta, GA
National Provider Identifier
1235154311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY002876
- Practice address
- 400 Galleria Pkwy SE Ste 1500
Atlanta, GA 30339-5953 - Phone
- (470) 669-1424
- Fax
- (404) 400-4970
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY002876 | GA | Primary |
Addresses
Primary practice location
400 Galleria Pkwy SE Ste 1500
Atlanta, GA 30339-5953
Mailing address
4045 Vinings Mill CT SE
Smyrna, GA 30080-6499
Phone (470) 669-1424
Other practice location 1
2020 Peachtree Rd NW
Atlanta, GA 30309-1426
Phone (866) 327-2166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Neurohealth & Wellness LLC | Clinical Neuropsychologist | Current | Accepting new patients |
Locations
400 Galleria Pkwy SE
Ste 1500
Atlanta, GA 30339
Phone (470) 669-1424
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Neuropsychologist
- Atlanta, GA
- NPI 1629831607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1235154311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4045 VININGS MILL CT SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300806499",
"telephone_number": "470-669-1424",
"fax_number": "404-400-4970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 GALLERIA PKWY SE STE 1500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303395953",
"telephone_number": "470-669-1424",
"fax_number": "404-400-4970"
}
],
"practiceLocations": [
{
"address_1": "2020 Peachtree Rd NW",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303091426",
"country_code": "US",
"telephone_number": "866-327-2166",
"fax_number": "404-350-7381",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAMES",
"first_name": "GARY",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "GA",
"license": "PSY002876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.