Ashley N. Pettoni, Psy.D., PC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY003250 Issued in GA

Legal business name

ASHLEY N. PETTONI, PSY.D., PC

Practice address

485 Huntington Rd
201
Athens, GA 30606-1861

Phone

(706) 546-8440

NPI assigned

Oct 5, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ashley N Pettoni, PSY. D

Title

Psychologist

Phone

(404) 550-0388

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1851626105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 PIEDMONT RD NE",
            "address_2": "56-298",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 HUNTINGTON RD",
            "address_2": "201",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306061861",
            "telephone_number": "706-546-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY N. PETTONI, PSY.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "PETTONI",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "404-550-0388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "GA",
            "license": "PSY003250",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003250",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364591572A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364591572B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Schley Ashford, M.D.
• Julia Ghyzel Ashford, PA-C
• Kalen Elizabeth Ashford, PA-C
• William Ashford, MD
• Ashley E Hill DMD LLC
• Randan Ludlow Ashmore, DMD
• Ronald B. Atchley, MD
• Njika Atemnkeng, MD
• Athen Kids Specialists P.C
• Athena Hospice, LLC

• Clinical Neuropsychologist in Athens, GA
• Providers in Athens, GA by specialty
• Clinical Neuropsychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.