DR. EVERSLEY DEVON PEMBERTON PH.D.
NPI 1528316163
Psychologist - Clinical in Atlanta, GA
NPI Status: Active since August 28, 2012
Contact Information
340 BOULEVARD NE
345
ATLANTA, GA
ZIP 30312
Phone: (404) 653-0322
Fax: (404) 653-0466
- Individual
- Male
- Psychologist
- Clinical
About EVERSLEY PEMBERTON
This page provides the complete NPI Profile along with additional information for Eversley Pemberton, a provider established in Atlanta, Georgia with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1528316163 assigned on August 2012. The practitioner's primary taxonomy code is 103TC0700X with license number PSY003607 (GA). The provider is registered as an individual and his NPI record was last updated March 2026.
- NPI
- 1528316163
- Provider Name
- DR. EVERSLEY DEVON PEMBERTON PH.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 340 BOULEVARD NE 345 ATLANTA, GA 30312
- Location Phone
- (404) 653-0322
- Location Fax
- (404) 653-0466
- Mailing Address
- 1477 RIVERROCK TRL RIVERDALE, GA 30296
- Mailing Phone
- (404) 808-8207
- Mailing Fax
- (404) 653-0466
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-28-2012
- Last Update Date
- 03-04-2026
- Code Navigator
A clinical psychologist like Eversley Pemberton assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
Location Map
Secondary Locations
- 777 Cleveland Ave SW Ste 604
Atlanta, GA 30315
(470) 352-6556
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PSY003607
- License State
- GA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 003127613A | MEDICAID (05) | GA |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1528316163, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ATLANTA, GA 30312
ATLANTA, GA 30312
ATLANTA, GA 30312
ATLANTA, GA 30312
ATLANTA, GA 30312
ATLANTA, GA 30312
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528316163, enumerated as an "individual" on August 28, 2012.
The provider is located at 340 BOULEVARD NE 345 ATLANTA, GA 30312 and the phone number is (404) 653-0322.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
