Active NPI
Cathleen Ann Cleary, M.D.
- Psychiatry Physician
- Bonaire, GA
National Provider Identifier
1518478023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 50096
- Practice address
- 106 Julee Emilyn Drive
Bonaire, GA 31005 - Phone
- (404) 906-6140
- Fax
- (478) 922-6122
- NPI assigned
- Oct 24, 2017
- Last updated
- Oct 24, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 50096 | GA | Primary |
Addresses
Primary practice location
106 Julee Emilyn Drive
Bonaire, GA 31005
Mailing address
1745 Phoenix Blvd
Suite 240
Atlanta, GA 30349
Phone (404) 507-7100
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50096 | GA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1518478023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1745 PHOENIX BLVD",
"address_2": "SUITE 240",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30349",
"telephone_number": "404-507-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 JULEE EMILYN DRIVE",
"city": "BONAIRE",
"state": "GA",
"postal_code": "31005",
"telephone_number": "404-906-6140",
"fax_number": "478-922-6122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEARY",
"first_name": "CATHLEEN",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-24",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "50096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonaire, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.