Active NPI
Whatley Battey Fenlon, PH.D.
- Psychologist
- Stockbridge, GA
National Provider Identifier
1700950631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 800
- Practice address
- 240 Corporate Center Dr
Stockbridge, GA 30281-7214 - Phone
- (404) 483-5605
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 800 | GA | Primary |
Addresses
Primary practice location
240 Corporate Center Dr
Stockbridge, GA 30281-7214
Mailing address
1139 Alta Ave NE
Atlanta, GA 30307-2572
Phone (404) 483-5606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000244384A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050629000714 | GA | Practitioner - Clinical Psychologist | 3870539919 | Practice locations: Stockbridge, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
120 Martin Luther King Senior
Suite 109
Stockbridge, GA 30281
120 Martin Luther King Senior Heritage Trail
Suite 109
Stockbridge, GA 30281
120 Martin Luther King Sr Heritage TR
Suite 109
Stockbridge, GA 30281
Phone (770) 506-8187
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 800 | GA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accord Psychological Associates | 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 1649441361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700950631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1139 ALTA AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303072572",
"telephone_number": "404-483-5606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 CORPORATE CENTER DR",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302817214",
"telephone_number": "404-483-5605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENLON",
"first_name": "WHATLEY",
"middle_name": "BATTEY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000244384A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.