Niclaire Lynn Neely, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

74202 Issued in GA

Practice address

3225 Shallowford Rd Ste 500
Marietta, GA 30062-7024

Phone

(678) 757-4576

Fax

(605) 309-8118

NPI assigned

Mar 31, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1730478629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 SHALLOWFORD RD STE 500",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300627024",
            "telephone_number": "678-757-4576",
            "fax_number": "605-309-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 SHALLOWFORD RD STE 500",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300627024",
            "telephone_number": "678-757-4576",
            "fax_number": "605-309-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELY",
        "first_name": "NICLAIRE",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-31",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "11016023A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "74202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Nicole Neault, MD
• Barry G Nedoba, MD
• Need for Care Pharmacy, LLC
• Natalie Needham, MD
• Kellie E Neely, AGACNP
• Jacob G Neesmith, PHARM.D.,RPH.
• Valerie Elise Neesmith, PHARMD
• Neighborhood Medical Associates Inc
• Maureen Devaney Nejedly, FNP
• Apryl Nelson, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.