Olivia Gupton

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY004587 Issued in GA

Practice address

708 W Taylor St
Griffin, GA 30223-2720

Phone

(678) 588-2119

NPI assigned

Mar 31, 2022

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1376283846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 WHITLOCK RIDGE DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645417",
            "telephone_number": "678-938-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 W TAYLOR ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302232720",
            "telephone_number": "678-588-2119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "708 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Griffin",
            "state": "GA",
            "postal_code": "302232720",
            "country_code": "US",
            "telephone_number": "678-588-2119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTON",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY004587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori W Grogan, NP
• Turner McKay Grogan, MD
• Deeksha Grover
• Laura Y Guinade
• Rohith Gujja
• Yolanda Gwathmey, PTA
• Gwendolyn Flowers-Taylor
• Patricia M Haibach, DO
• Kaitlin Marie Hailey, ATC/ LAT
• Barbara Rodenberry Hall, NP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.