Albert Bascom Elmore III

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

006541 Issued in GA

Practice address

1830 Water PL SE Ste 210
Atlanta, GA 30339-2292

Phone

(770) 310-1887

NPI assigned

Jul 1, 2019

Last updated

Jul 1, 2019By the provider in NPPES

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1619539574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 WATER PL SE STE 210",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 WATER PL SE STE 210",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392292",
            "telephone_number": "770-310-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMORE",
        "first_name": "ALBERT",
        "middle_name": "BASCOM",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "006541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delilah Ellzey, PHD
• Andrew Elmer
• Jillian Elmer
• Caitlyn Sue Elmes, PHARMD
• Therese Elmore-Christian
• Lisa Harriet Elmore, ATC
• Sage Lauren Elmore, AGACNP
• Elmwood Park Anesthesia Consultants
• Elon Care Staffing LLC
• Fese Elonge, PHD, LCSW

• Professional Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.