Organization Active NPI

Globecore, Inc.

  • Community/Behavioral Health Agency
  • Atlanta, GA
National Provider Identifier
1780088195
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PSY003785 Issued in GA
Legal business name
GLOBECORE, INC.
Practice address
3355 Lenox Rd NE
Ste 1000
Atlanta, GA 30326
Phone
(770) 284-1044
Fax
(404) 228-3860
NPI assigned
Oct 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Dr. Kelly Michelle Lewis, PH.D.
Title
President/Licensed Psychologist
Phone
(404) 641-7705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PSY003785 GA Primary

Addresses

Primary practice location

3355 Lenox Rd NE
Ste 1000
Atlanta, GA 30326

Mailing address

2031 Pinnacle Pointe Dr
Norcross, GA 30071-4917
Phone (404) 641-7705

Other identifiers 1

IdentifierTypeStateIssuer
003148962AMedicaidGA

National Provider Directory

National Provider Directory

Locations

2250 N Druid Hills Rd NE
Ste 265A
Atlanta, GA 30329
Phone (866) 331-3345

2801 Buford Hwy NE
Ste 195
Brookhaven, GA 30329
Phone (770) 284-1044

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1780088195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 PINNACLE POINTE DR",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300714917",
            "telephone_number": "404-641-7705",
            "fax_number": "770-559-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 LENOX RD NE",
            "address_2": "STE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30326",
            "telephone_number": "770-284-1044",
            "fax_number": "404-228-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBECORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "404-641-7705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "PSY003785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003148962A",
            "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 Jan 6, 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.