P Praxis·MD
● Active Type 1 · Individual

MR. Kenneth Carter Boatner, ED.D.,MPH

Psychologist·Atlanta, GA· NPI 1306221411 · Enumerated 2015 · 10 years on NPI
Boatner is 1 of 321 psychologist providers in Atlanta and 1 of 1114 in Georgia.
NPI age
10 years
Enumerated 2015-07-30
Primary specialty
Psychologist
Plus 1 subspecialty
Licensed in
GA, MA
2 states
Status
Active
No deactivations on record
Last NPPES update
2015-08-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1114 active psychologist providers in Georgia.

NPI age
10 years
↓ 7 yr below median (17 yr)
State licenses
2 states
Top 95% — 4% of peers are multi-state
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-07Enumerated in NPPES
2015 2026

Where they practice

Practice location
565 Peachtree Street, N.e., Suite 1407
Atlanta, GA 303082277
📞 6177843535
Mailing address
565 Peachtree St Ne Unit 1407
Atlanta, GA 303082277
📞 6177843535

Specialties

  • Psychologist Primary
    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,...
    GA license #003786MA license #4286 taxonomy 103T00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 5 new psychologist providers have been added in Atlanta in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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