Active NPI
Clemlyn-Ann Pollydore, MD
- Psychiatry Physician
- Atlanta, GA
National Provider Identifier
1861678484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 002100
- Practice address
- 550 Peachtree St NE
Medical Office Tower, 7TH Floor
Atlanta, GA 30308-2208 - Phone
- (404) 686-8181
- NPI assigned
- Jan 14, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 002100 | GA | Primary |
Addresses
Primary practice location
550 Peachtree St NE
Medical Office Tower, 7TH Floor
Atlanta, GA 30308-2208
Mailing address
1670 Clairmont Rd
Mental Health, 5TH Floor
Decatur, GA 30033-4004
Phone (404) 321-6111
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002100 | GA | MD | Psychiatry Physician |
Interoperability endpoints
- cpollydore21838@direct.emory.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486512000000",
"number": "1861678484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1670 CLAIRMONT RD",
"address_2": "MENTAL HEALTH, 5TH FLOOR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300334004",
"telephone_number": "404-321-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"address_2": "MEDICAL OFFICE TOWER, 7TH FLOOR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082208",
"telephone_number": "404-686-8181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLYDORE",
"first_name": "CLEMLYN-ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-14",
"last_updated": "2017-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "002100",
"primary": true
}
],
"identifiers": [],
"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 Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.