ELIZABETH NEWTON (PSYD) – Clinical Psychologist, NPI 1801137690

ELIZABETH NEWTON (PSYD) is a healthcare provider. based in Kennesaw, Georgia. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. PSY003626 (GA). The NPI Number for ELIZABETH NEWTON (PSYD) is 1801137690

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH NEWTON (PSYD)
NPI
1801137690
Phone
Not provided
Address
4255 WADE GREEN RD NW
Enumeration Date
5 March 2013
Last Update Date
5 March 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4046531117
Graduation Year
2009 (17 years ago)
PAC ID
1557683208
Group Practice PAC ID
5597204628
Professional Enrollment ID
I20150730011463
Address ID
GA303415772AT2857XRDXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

483 CLINICAL PSYCHOLOGIST in GA

Provider Addresses for ELIZABETH NEWTON (PSYD)

  • 4255 WADE GREEN RD NW

    STE 414

    KENNESAW, GA 301441762

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-07-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150730011463IPsychologist Billing IndependentlyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30144)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597204628View full group profile
NameSpecialtyState
Clinical PsychologistGA

Reviews

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Frequently asked questions

What federal number belongs to ELIZABETH NEWTON (PSYD)?
The federal identifier for ELIZABETH NEWTON (PSYD) is NPI 1801137690.
Is ELIZABETH NEWTON (PSYD) active in the national directory?
ELIZABETH NEWTON (PSYD)'s public NPI profile is in an active state.
What kind of provider is ELIZABETH NEWTON (PSYD)?
The page reflects Clinical Psychologist for ELIZABETH NEWTON (PSYD). Clinical services aligned with this taxonomy classification.
What location shows for ELIZABETH NEWTON (PSYD)?
We surface Kennesaw, Georgia for ELIZABETH NEWTON (PSYD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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