Kenneth Boatner, ED.D.,MPH
NPI 1306221411 · Psychologist · Atlanta, GA
Enrolled with Medicare as Practitioner - Psychologist Billing Independently · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Boatner, ED.D.,MPH is a Psychologist provider in Atlanta, GA (NPI 1306221411).
Provider details
- NPI number
- 1306221411
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- ED.D.,MPH
- Sex
- Male
- Sole proprietor
- No
- License
- 003786 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-07-30
- Last updated
- 2015-08-12
Frequently asked questions
- What is Kenneth Boatner's NPI number?
- Kenneth Boatner's National Provider Identifier (NPI) is 1306221411, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Boatner's specialty?
- Kenneth Boatner is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Kenneth Boatner located?
- Kenneth Boatner's practice location on file with NPPES is 565 Peachtree Street, N.e., Atlanta, GA 30308-2277.
- What is Kenneth Boatner's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Boatner is (617) 784-3535.
- Does Kenneth Boatner accept Medicare?
- Kenneth Boatner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Boatner's NPI active?
- Yes — Kenneth Boatner's NPI (1306221411) is active in the NPPES registry as of the last update on 2015-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.