Active NPI
James F Degroot, PH. D
- Psychologist
- Atlanta, GA
National Provider Identifier
1295068849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY001054
- Practice address
- 2800 Shallowford Rd NE
Suit #B
Atlanta, GA 30341-5217 - Phone
- (770) 451-3558
- Fax
- (678) 835-0049
- NPI assigned
- Sep 15, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY001054 | GA | Primary |
Addresses
Primary practice location
2800 Shallowford Rd NE
Suit #B
Atlanta, GA 30341-5217
Mailing address
2800 Shallowford Rd NE
Suit #B
Atlanta, GA 30341-5217
Phone (770) 451-3558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY001054 | GA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252972800000",
"number": "1295068849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 SHALLOWFORD RD NE",
"address_2": "SUIT #B",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303415217",
"telephone_number": "770-451-3558",
"fax_number": "678-835-0049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 SHALLOWFORD RD NE",
"address_2": "SUIT #B",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303415217",
"telephone_number": "770-451-3558",
"fax_number": "678-835-0049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGROOT",
"first_name": "JAMES",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "PH. D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-15",
"last_updated": "2009-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY001054",
"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 Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.