Organization Active NPI

Atlanta Neurohealth & Wellness LLC

  • Clinical Neuropsychologist
  • Atlanta, GA
National Provider Identifier
1629831607
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
ATLANTA NEUROHEALTH & WELLNESS LLC
Practice address
400 Galleria Pkwy SE Ste 1500
Atlanta, GA 30339-5953
Phone
(470) 669-1424
Fax
(404) 400-4970
NPI assigned
Feb 2, 2024
Last updated
Feb 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Dr. Gary JamesNPI 1235154311
Title
Owner / Neuropsychologist
Phone
(470) 669-1424

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

400 Galleria Pkwy SE Ste 1500
Atlanta, GA 30339-5953

Mailing address

4045 Vinings Mill CT SE
Smyrna, GA 30080-6499
Phone (470) 669-1424

National Provider Directory

National Provider Directory

Locations

400 Galleria Pkwy SE
Ste 1500
Atlanta, GA 30339
Phone (470) 669-1424

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1629831607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 VININGS MILL CT SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806499",
            "telephone_number": "470-669-1424",
            "fax_number": "404-400-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GALLERIA PKWY SE STE 1500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395953",
            "telephone_number": "470-669-1424",
            "fax_number": "404-400-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA NEUROHEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER / NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "470-669-1424",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 2, 2024; 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.