Organization Active NPI

Tommy a. Boone, PC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1942327556
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
02955 Issued in GA
Legal business name
TOMMY A. BOONE, PC
Practice address
1 Dunwoody Park
Suite 140
Atlanta, GA 30338-7404
Phone
(770) 932-7000
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Authorized official

Name
Mr. Tommy Aaron Boone, LPC
Title
President
Phone
(678) 313-3549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 02955 GA Primary

Addresses

Primary practice location

1 Dunwoody Park
Suite 140
Atlanta, GA 30338-7404

Mailing address

165 Roberts Rd
Suwanee, GA 30024-2334
Phone (678) 313-3549

Other identifiers 1

IdentifierTypeStateIssuer
136144550AMedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1942327556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 ROBERTS RD",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242334",
            "telephone_number": "678-313-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DUNWOODY PARK",
            "address_2": "SUITE 140",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303387404",
            "telephone_number": "770-932-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMMY A. BOONE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-313-3549",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "02955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136144550A",
            "state": "FL"
        }
    ],
    "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 Sep 3, 2013; 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.