Active NPI
Greer Alexander Ezrine, PH.D., NCSP
- Psychologist
- Alpharetta, GA
National Provider Identifier
1790106797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY003498
- Practice address
- 11805 Northfall LN Ste 803
Alpharetta, GA 30009-7970 - Phone
- (404) 702-2524
- Fax
- (678) 505-1821
- NPI assigned
- Dec 18, 2013
- Sex
- Female
- 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 | PSY003498 | GA | Primary |
Addresses
Primary practice location
11805 Northfall LN Ste 803
Alpharetta, GA 30009-7970
Mailing address
11805 Northfall LN Ste 803
Alpharetta, GA 30009-7970
Phone (404) 702-2524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY003498 | GA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542672000000",
"number": "1790106797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11805 NORTHFALL LN STE 803",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300097970",
"telephone_number": "404-702-2524",
"fax_number": "678-505-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11805 NORTHFALL LN STE 803",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300097970",
"telephone_number": "404-702-2524",
"fax_number": "678-505-1821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZRINE",
"first_name": "GREER",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "PH.D., NCSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-18",
"last_updated": "2018-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY003498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.