Dewitt Clinton Alfred III, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

42989 Issued in GA

Practice address

2900 Chamblee Tucker Rd BLDG 16
Atlanta, GA 30341-4148

Phone

(770) 939-1288

NPI assigned

Jun 12, 2006

Last updated

Jan 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Hahneman Medical College of the Pacific, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

United Psychology Center LLCGroup PAC ID 0648424796, 8 clinicians

Premier Healthcare InvestmentsGroup PAC ID 9830327972, 7 clinicians

Atlanta Psychotherapy, LLCGroup PAC ID 4385784206, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atlanta Psychotherapy, LLC

  • Community/Behavioral Health Agency
  • Stockbridge, GA
  • NPI 1114106309
  Medicare reassignment Care Compare group NPD
• Premier Healthcare Investments

  dba Flint River Hospital

  • General Acute Care Hospital
  • Montezuma, GA
  • NPI 1528497351
  Medicare reassignment Care Compare group NPD
• United Psychology Center, LLC

  • Psychiatry Physician
  • Atlanta, GA
  • NPI 1063704542
  Medicare reassignment Care Compare group NPD
• Georgia Mountains Community Services

  • Mental Health Counselor
  • Cumming, GA
  • NPI 1063522035
  Medicare reassignment NPD
• Highland Rivers Community Service Board

  • Community/Behavioral Health Agency
  • Dalton, GA
  • NPI 1447256243
  Medicare reassignment NPD
• Highland Rivers CSB

  • Community/Behavioral Health Agency
  • Dalton, GA
  • NPI 1093878464
  NPD
• Highland Rivers CSB

  dba Highland Rivers Whitfield Treatment Services

  • Community/Behavioral Health Agency
  • Dalton, GA
  • NPI 1164585543
  NPD
• Premier Healthcare Investments

  dba Flint River Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Montezuma, GA
  • NPI 1588093637
  NPD
• Fulton County Mental Health Center

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1437299625
  NPD (past)
• Fulton County Mhddad

  dba West Mental Health Center

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1285700682
  NPD (past)
• State of Alaska Department of Administration

  dba Alaska Psychiatric Institute

  • Psychiatric Hospital
  • Anchorage, AK
  • NPI 1497842553
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1659313955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 FAIRWAYS CT STE A",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817278",
            "telephone_number": "770-389-1925",
            "fax_number": "912-437-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CHAMBLEE TUCKER RD BLDG 16",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414148",
            "telephone_number": "770-939-1288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "831 Fairways Ct Ste A",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302817278",
            "country_code": "US",
            "telephone_number": "770-389-1925",
            "fax_number": "770-389-3077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALFRED",
        "first_name": "DEWITT",
        "middle_name": "CLINTON",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "42989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deedra Alford, AU.D.
• Kaneesha Alford
• Lacey Speight Alford, PH.D., LPC, NCC
• Shamika Alford, LPC
• Suzanne Marie Alfors, CPNP
• Abodalrahman Algamdy
• Mary W. Algeo
• Ghuzlan Alhaddad
• Idris Fathi Ali Amghaiab, MD
• Aizya Ali-Mohammed, RDN

• Psychiatry Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.