MEDICARE: CLINICAL & CONSULTING SERVICES OF ATLANTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TH0100X	Health Service Psychologist

General Provider Information

NPI Number	:	1083559231
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLINICAL & CONSULTING SERVICES OF ATLANTA

Provider Business Mailing Address
First Line	:	1800 PEACHTREE ST NW STE 335
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-2508
Country	:	US
Telephone Number	:	404-948-2426
Fax Number	:	404-948-2427

Provider Business Practice Location Address
First Line	:	1800 PEACHTREE ST NW STE 335
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-2508
Country	:	US
Telephone Number	:	404-948-2426
Fax Number	:	404-948-2427

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	DR. TROY AVIS JAMES
Credential	:	PHD, MSCP
Telephone Number	:	404-948-2426

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

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