Active NPI
Nicholas Hume, PHD
- Clinical Psychologist
- Marietta, GA
National Provider Identifier
1699766568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 505
- Practice address
- 4994 Lower Roswell Rd
Ste 29
Marietta, GA 30068-4332 - Phone
- (770) 977-2987
- Fax
- (678) 236-6041
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 505 | GA | Primary |
Addresses
Primary practice location
4994 Lower Roswell Rd
Ste 29
Marietta, GA 30068-4332
Mailing address
4994 Lower Roswell Rd
Ste 29
Marietta, GA 30068-4332
Phone (770) 977-2987
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2018 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 505 | GA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Lifespan Consultants, P.C. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Marietta, GA
- NPI 1780673152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1699766568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4994 LOWER ROSWELL RD",
"address_2": "STE 29",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300684332",
"telephone_number": "770-977-2987",
"fax_number": "678-236-6041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4994 LOWER ROSWELL RD",
"address_2": "STE 29",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300684332",
"telephone_number": "770-977-2987",
"fax_number": "678-236-6041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUME",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.