NICOLE ERIKA KHAULI RYAN PHD
NPI 1396410825
Psychologist - Clinical in Atlanta, GA

Q: What is Nicole Khauli Ryan's NPI number?

The NPI number for Nicole Khauli Ryan is 1396410825. It was assigned to this individual provider in the NPPES registry on August 16, 2021.

Q: What is Nicole Khauli Ryan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since August 16, 2021PECOS EnrolledAccepts Medicare Assignment

1365 CLIFTON RD NE, ATLANTA, GA 30322(404) 727-4018 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 20, 2026, Sep 11, 2024, May 27, 2022 and 1 more (4 updates tracked since 2021).

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About Nicole Erika Khauli Ryan Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE ERIKA KHAULI RYAN PHD (NPI 1396410825) is an individual clinical provider in Atlanta, Georgia, licensed in Georgia (PSY900341) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1396410825

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameNICOLE ERIKA KHAULI RYANCredential: PHD

Location Address1365 CLIFTON RD NEAtlanta, GA 30322-1013

Mailing Address1365 Clifton Rd NeAtlanta, GA 30322-1013

Phone(404) 727-4018

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 16, 2021

Last NPPES UpdateApril 20, 20264 updates tracked since enumeration

NPPES CertifiedApril 20, 2026

✔ NPI 1396410825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in GA · PSY900341✔ Licensed in NY · 027574

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1365 CLIFTON RD NE, Atlanta, GA 30322

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Erika Khauli Ryan Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567936578

PECOS Enrollment IDI20260630005007

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$172.43 typical visit price

range $56.84 – $172.43

Typical copayment $43.10 (range $14.21 – $43.10)

Most-billed visit code 99205

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHHAYA J GANDHI PA-C

Physician Assistant (Medical)

1365 CLIFTON RD NE, SUITE A 4325
ATLANTA, GA 30322

Dekalb County (404) 778-3914

ELIZABETH IKEDA

Anesthesiologist Assistant

1365 CLIFTON RD NE
ATLANTA, GA 30322

Dekalb County (404) 778-8311

MS. NIVES KERAN PA-C

Physician Assistant

1365 CLIFTON RD NE
ATLANTA, GA 30322

Dekalb County (404) 778-1900

DR. ALVIN R SOLOMON M.D.

Dermatology

1365 CLIFTON RD NE, DEPARTMENT OF DERMATOLOGY
ATLANTA, GA 30322

Dekalb County (404) 727-3669

LINDSAY C GRAMER PAAA

Anesthesiologist Assistant

1365 CLIFTON RD NE
ATLANTA, GA 30322

Dekalb County (404) 778-5000

SACHIN PARIKH MD

Radiology (Diagnostic Radiology)

1365 CLIFTON RD NE, BREAST IMAGING CENTER, WINSHIP C
ATLANTA, GA 30322

Dekalb County (404) 778-1856

JULIE SCHNEIDER LEVY ACNP

Nurse Practitioner (Acute Care)

1365 CLIFTON RD NE
ATLANTA, GA 30322

Dekalb County (404) 712-2000

GERARD M MCGORISK MD

Internal Medicine (Cardiovascular Disease)

1365 CLIFTON RD NE
ATLANTA, GA 30322

Dekalb County (404) 778-5299

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Khauli Ryan's NPI number?

The NPI number for Nicole Khauli Ryan is 1396410825. It was assigned to this individual provider in the NPPES registry on August 16, 2021.

Where is Nicole Khauli Ryan located?

Nicole Khauli Ryan practices at 1365 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 727-4018.

What is Nicole Khauli Ryan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Nicole Khauli Ryan enrolled in Medicare?

Yes. Nicole Khauli Ryan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nicole Khauli Ryan was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.