Kameron Sheats, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY003819 Issued in GA

Practice address

715 Peachtree St NE Ste 100
Atlanta, GA 30308-2179

Phone

(786) 755-1863

NPI assigned

Dec 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1881353456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3870 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "S-340 #321",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 PEACHTREE ST NE STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082179",
            "telephone_number": "786-755-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEATS",
        "first_name": "KAMERON",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Marie Sheahan, DO
• Gina Shealey
• Nanette Shealy
• Ryan Stuart Shear, D.O.
• Michael Shearer
• Nicole Sarai Sheehan
• Vivien Sheehan, MD
• Ikraan M Sheekh Nuur, PT, DPT
• Martha Elizabeth Sheets, MD CANDIDATE
• Ryan Oliver Sheets, M.D.

• Clinical Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.