DR. GERSHOM THEOPHILUS LAZARUS PHD
NPI 1558952846
Psychologist in Atlanta, GA

Active since January 29, 2021
87.76/100
CMS Quality Rating
36 EAGLE ROW, ATLANTA, GA 30322(910) 616-9657 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Gershom Theophilus Lazarus Phd NPPES

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

DR. GERSHOM THEOPHILUS LAZARUS PHD (NPI 1558952846) is an individual psychologist in Atlanta, Georgia, licensed in Georgia (PSY004440) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1558952846
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. GERSHOM THEOPHILUS LAZARUSCredential: PHD
Location Address36 EAGLE ROWAtlanta, GA 30322-0001
Mailing Address1215 Lavista Rd NeAtlanta, GA 30324-3739 · (910) 616-9657
Sole ProprietorYes
Enumeration DateJanuary 29, 2021
NPPES CertifiedJanuary 29, 2021
NPI 1558952846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in GA · PSY004440
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License PSY004440 (GA)
36 EAGLE ROW, Atlanta, GA 30322

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.03
Improvement Activities40
Cost67.97

Other Providers at the Same Location NPPES 4

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

Student in an Organized Health Care Education/Training Program
36 EAGLE ROW
ATLANTA, GA 30322
Psychologist (Clinical)
36 EAGLE ROW, DEPARTMENT O PSYCHOLOGY, EMORY UNIVERSITY
ATLANTA, GA 30322
Psychologist (Clinical)
36 EAGLE ROW
ATLANTA, GA 30322
Student in an Organized Health Care Education/Training Program
36 EAGLE ROW
ATLANTA, GA 30322

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 Gershom Lazarus's NPI number?

The NPI number for Gershom Lazarus is 1558952846. It was assigned to this individual provider in the NPPES registry on January 29, 2021.

Where is Gershom Lazarus located?

Gershom Lazarus practices at 36 Eagle Row, Atlanta, GA 30322. The listed phone number is (910) 616-9657.

What is Gershom Lazarus's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Gershom Lazarus was last updated on January 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.