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

Q: 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.

Q: What is Eversley Pemberton's specialty?

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

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: August 16, 2026.

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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

Phone(404) 653-0322

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

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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.

LORI A DALCOUR NP

Nurse Practitioner (Women's Health)

340 BOULEVARD NE
ATLANTA, GA 30312

Fulton County (404) 223-2229

DR. ROBIN ROSENTHAL PH.D.

Psychologist

340 BOULEVARD NE, SUITE 640
ATLANTA, GA 30312

Fulton County (404) 653-1117

CHANTAY GOLSON

Counselor (Professional)

340 BOULEVARD NE, SUITE 611
ATLANTA, GA 30312

Fulton County (770) 280-7288

MILTON DANIEL BYRD MD

Internal Medicine

340 BOULEVARD NE, SUITE 414
ATLANTA, GA 30312

Fulton County (404) 577-1231

DR. MAHMOUD BAIDI BARRIE MD

Internal Medicine (Gastroenterology)

340 BOULEVARD NE, SUITE 145
ATLANTA, GA 30312

Fulton County (404) 584-7306

M LYUBICH MD PC

Internal Medicine

340 BOULEVARD NE, SUITE 324
ATLANTA, GA 30312

Fulton County (404) 523-1864

DR. PATRICIA A LLOYD M.D.

Internal Medicine

340 BOULEVARD NE, SUITE 441
ATLANTA, GA 30312

Fulton County (404) 659-4335

INTOWN PEDIATRIC BEHAVIORAL WELLNESS LLC

Psychologist (Clinical Child & Adolescent)

340 BOULEVARD NE, SUITE 345
ATLANTA, GA 30312

Fulton County (404) 653-0322

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.