Healthcare Provider Details

I. General information

NPI: 1558090274
Provider Name (Legal Business Name): DR TINAI JAMES PHD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2022
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

285 BIRCH CREEK CIR
MCDONOUGH GA
30253-7258
US

IV. Provider business mailing address

285 BIRCH CREEK CIR
MCDONOUGH GA
30253-7258
US

V. Phone/Fax

Practice location:
  • Phone: 470-456-4527
  • Fax:
Mailing address:
  • Phone: 470-456-4527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. TINAI L JAMES
Title or Position: CLINICAL DIRECTOR
Credential: PHD
Phone: 415-672-4353