=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083559231
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CLINICAL & CONSULTING SERVICES OF ATLANTA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/22/2026
-----------------------------------------------------
Last Update Date | 04/22/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1800 PEACHTREE ST NW STE 335
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30309-2508
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-948-2426
-----------------------------------------------------
Fax | 404-948-2427
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1800 PEACHTREE ST NW STE 335
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30309-2508
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-948-2426
-----------------------------------------------------
Fax | 404-948-2427
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/CEO
-----------------------------------------------------
Name | DR. TROY AVIS JAMES
-----------------------------------------------------
Credential | PHD, MSCP
-----------------------------------------------------
Telephone | 404-948-2426
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TH0100X
-----------------------------------------------------
Taxonomy Name | Health Service Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------