NPIMap

Organization Active NPI

Byron Kellam & Associates, Inc

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1518679307
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BYRON KELLAM & ASSOCIATES, INC
Practice address
4751 Best Rd Ste 400T
Atlanta, GA 30337-5609
Phone
(470) 213-3568
Fax
(770) 577-2887
NPI assigned
Dec 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Authorized official

Name
Byron Kellam, LPC, CPCSNPI 1679893259
Title
Ceo/Clinical Director
Phone
(470) 213-3568

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X Primary
School CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YS0200X

Addresses

Primary practice location

4751 Best Rd Ste 400T
Atlanta, GA 30337-5609

Mailing address

3292 Thornecreek Dr
Douglasville, GA 30135-8124
Phone (470) 213-3568

Other identifiers 1

IdentifierTypeStateIssuer
1679893259MedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bkandassociates@icloud.com Direct

National Provider Directory

National Provider Directory

Locations

4751 Best Rd
Ste 400T
Atlanta, GA 30337
Phone (404) 798-7952

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671753600000",
    "number": "1518679307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3292 THORNECREEK DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301358124",
            "telephone_number": "470-213-3568",
            "fax_number": "770-577-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4751 BEST RD STE 400T",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303375609",
            "telephone_number": "470-213-3568",
            "fax_number": "770-577-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYRON KELLAM & ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A",
        "authorized_official_last_name": "KELLAM",
        "authorized_official_first_name": "BYRON",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "470-213-3568",
        "authorized_official_credential": "LPC, CPCS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679893259",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bkandassociates@icloud.com",
            "affiliation": "N",
            "endpointDescription": "Business Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4751 Best Rd Ste 400T",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303375609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 23, 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.