Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thomas Johnson McKinnon III, PHMNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1750202040

Thomas Johnson McKinnon III, PHMNP is a Psychiatric/Mental Health Nurse Practitioner in Decatur, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2026

Practice location Address checks out

1766 Lawrenceville Hwy
Decatur, GA 30033-5641
Phone: (404) 748-4434
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN-NP300384 (GA)

Record details

NPI number1750202040
Entity typeIndividual (Type 1)
GenderMale
Credentials PHMNP
Sole proprietorYes
NPI enumeratedJuly 22, 2026
Last updated in NPPESJuly 22, 2026
Certification dateJuly 20, 2026

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