Organization Active NPI

Whatson Psychology, LLC

  • Clinical Psychologist
  • Augusta, GA
National Provider Identifier
1164070348
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
WHATSON PSYCHOLOGY, LLC
Practice address
2211 Dartmouth Rd
Augusta, GA 30904-3429
Phone
(706) 834-5864
NPI assigned
Aug 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Samantha L Whatson, PSYDNPI 1932635885
Title
Owner/Ao
Phone
(706) 834-5864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2211 Dartmouth Rd
Augusta, GA 30904-3429

Mailing address

1415 Highway 85 N Ste 310-542
Fayetteville, GA 30214-7738
Phone (706) 834-5864

Other practice location 1

300 Favor Rd Apt 2210
Fayetteville, GA 30214-7680
Phone (706) 834-5864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191122001359 GA Part B Supplier - Clinic/Group Practice 7214369636 Receives reassigned benefits from 1 practitioner
Practice locations: Augusta, GA; Fayetteville, GA

National Provider Directory

National Provider Directory

Locations

2918 Professional Pkwy
Ste 100
Augusta, GA 30907
Phone (706) 834-5864

1415 Highway 85 N
Ste 310542
Fayetteville, GA 30214

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1164070348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 HIGHWAY 85 N STE 310-542",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147738",
            "telephone_number": "706-834-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 DARTMOUTH RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309043429",
            "telephone_number": "706-834-5864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Favor Rd Apt 2210",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302147680",
            "country_code": "US",
            "telephone_number": "706-834-5864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHATSON PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "WHATSON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/AO",
        "authorized_official_telephone_number": "706-834-5864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.