DR. EVERSLEY DEVON PEMBERTON PH.D.
NPI 1528316163
Psychologist - Clinical in Atlanta, GA

Active since August 28, 2012
340 BOULEVARD NE, 345, ATLANTA, GA 30312(404) 653-0322(404) 653-0466 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Eversley Devon Pemberton Ph.d. NPPES

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

DR. EVERSLEY DEVON PEMBERTON PH.D. (NPI 1528316163) is an individual clinical provider in Atlanta, Georgia, licensed in Georgia (PSY003607) and active in the NPI registry since August 2012. He maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1528316163
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. EVERSLEY DEVON PEMBERTONCredential: PH.D.
Location Address340 BOULEVARD NE, 345Atlanta, GA 30312-1273
Mailing Address1477 Riverrock TrlRiverdale, GA 30296-1169 · (404) 808-8207 · Fax (678) 519-5762
Fax(404) 653-0466
Sole ProprietorNo
Enumeration DateAugust 28, 2012
Last NPPES UpdateMarch 4, 2026
NPPES CertifiedMarch 4, 2026
NPI 1528316163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in GA · PSY003607
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.

340 BOULEVARD NE, Atlanta, GA 30312

Secondary Practice Location 1

Location 1777 Cleveland Ave SW Ste 604Atlanta, GA 30315-7116 · Phone (470) 352-6556 · Fax (404) 549-9650

Other Identifiers 1

Medicaid003127613AGA

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.

Nurse Practitioner (Women's Health)
340 BOULEVARD NE
ATLANTA, GA 30312
Psychologist
340 BOULEVARD NE, SUITE 640
ATLANTA, GA 30312
Counselor (Professional)
340 BOULEVARD NE, SUITE 611
ATLANTA, GA 30312
Internal Medicine
340 BOULEVARD NE, SUITE 414
ATLANTA, GA 30312
Internal Medicine (Gastroenterology)
340 BOULEVARD NE, SUITE 145
ATLANTA, GA 30312
Internal Medicine
340 BOULEVARD NE, SUITE 324
ATLANTA, GA 30312
Internal Medicine
340 BOULEVARD NE, SUITE 441
ATLANTA, GA 30312
Psychologist (Clinical Child & Adolescent)
340 BOULEVARD NE, SUITE 345
ATLANTA, GA 30312

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 Eversley Pemberton's NPI number?

The NPI number for Eversley Pemberton is 1528316163. It was assigned to this individual provider in the NPPES registry on August 28, 2012.

Where is Eversley Pemberton located?

Eversley Pemberton practices at 340 Boulevard NE 345, Atlanta, GA 30312. The listed phone number is (404) 653-0322.

What is Eversley Pemberton's specialty?

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

When was this NPI record last updated?

The NPPES record for Eversley Pemberton was last updated on March 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.