Organization Active NPI

James E. Stark, PH.D., P.C.

  • Community/Behavioral Health Agency
  • Atlanta, GA
National Provider Identifier
1720233562
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PSY298 Issued in GA
Legal business name
JAMES E. STARK, PH.D., P.C.
Practice address
1755 The Exchange SE
Suite 375
Atlanta, GA 30339-7400
Phone
(770) 541-9988
Fax
(770) 541-9977
NPI assigned
Nov 20, 2008
Last updated
Nov 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Dr. James Edwin Stark, PH.D.NPI 1356492037
Title
President
Phone
(770) 541-9988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PSY298 GA Primary

Addresses

Primary practice location

1755 The Exchange SE
Suite 375
Atlanta, GA 30339-7400

Mailing address

1755 The Exchange SE
Suite 375
Atlanta, GA 30339-7400
Phone (770) 541-9988

Other identifiers 1

IdentifierTypeStateIssuer
000041544AMedicaidGA

National Provider Directory

National Provider Directory

Locations

1755 The Exchange SE
Ste 375
Atlanta, GA 30339
Phone (404) 594-1770

1945 The Exchange SE
Ste 435
Atlanta, GA 30339
Phone (678) 516-1307

314 S Hamilton St
Dalton, GA 30720
Phone (678) 516-1307

64 Sailors Dr
Ste 114
Ellijay, GA 30540
Phone (706) 635-8815

2470 Windy Hill Rd SE
Ste 362
Marietta, GA 30067
Phone (404) 418-8163

Practitioners & affiliated clinicians

Practitioners 2

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": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1720233562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 THE EXCHANGE SE",
            "address_2": "SUITE 375",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303397400",
            "telephone_number": "770-541-9988",
            "fax_number": "770-541-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 THE EXCHANGE SE",
            "address_2": "SUITE 375",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303397400",
            "telephone_number": "770-541-9988",
            "fax_number": "770-541-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES E. STARK, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-541-9988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "PSY298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000041544A",
            "state": "GA"
        }
    ],
    "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 Nov 20, 2008; 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.