Andrea Gail Levy Elkon, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY0002940 Issued in GA

Practice address

1670 Clairmont Rd
Dept. of Veterans Affairs VA Medical Center
Decatur, GA 30033-4004

Phone

(404) 321-6111

NPI assigned

Aug 21, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Interventional Spine and Pain Management Center, PC

  • Interventional Pain Medicine Physician
  • Conyers, GA
  • NPI 1518012004
  Medicare reassignment NPD
• CPM Labs, LLC

  • Clinical Medical Laboratory
  • Roswell, GA
  • NPI 1689945800
  NPD
• The Interventional Spine and Pain Management Center PC

  • Interventional Pain Medicine Physician
  • Cumming, GA
  • NPI 1447963608
  NPD

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1346497385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 DURAND DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071110",
            "telephone_number": "404-277-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 CLAIRMONT RD",
            "address_2": "DEPT. OF VETERANS AFFAIRS VA MEDICAL CENTER",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300334004",
            "telephone_number": "404-321-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKON",
        "first_name": "ANDREA",
        "middle_name": "GAIL LEVY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY0002940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Bradford Eliason, MD
• Elizabeth Homes LLC
• Moataz N Elkasrawy, DDS, PHD
• Elkdental LLC
• Deborah Elkin, LPC
• Elle Counseling, LLC
• Tanya Haydee Eller, FNP
• Elliot P Royston MD PC
• Megan Elliot, NP-C
• Erin Christine Elliott, PH.D.

• Clinical Psychologist in Decatur, GA
• Providers in Decatur, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.