Cheryl Andrea Jackson Bourne

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

3072 Early St NW Ste 200
Atlanta, GA 30305-1984

Phone

(404) 865-3929

NPI assigned

Mar 31, 2025

Last updated

Mar 31, 2025By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1699578047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2862 LIVSEY WOODS DR",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300842584",
            "telephone_number": "770-402-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3072 EARLY ST NW STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051984",
            "telephone_number": "404-865-3929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2930 Flowers Rd S",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303415543",
            "country_code": "US",
            "telephone_number": "678-547-6789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOURNE",
        "first_name": "CHERYL",
        "middle_name": "ANDREA JACKSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Dorothy Bourg, PT
• Kristin Bourg, PA
• Debra Bourgeois, CCC-SLP
• Caitlin Adrianna Bourland, APC
• Camryn Vega Bourne
• Ebon Anthony Bourne, M.D.
• Lioudmila Bourova-Brazier, FNP
• Kevin Franklin Bourquine, P.A.
• Bennett Boushka
• Joseph F Boveri, M.D.

• Marriage & Family Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.