Organization Active NPI

Wilmoth LLC

  • Psychologist
  • Alpharetta, GA
National Provider Identifier
1326634858
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
WILMOTH LLC
Practice address
2300 Lakeview Pkwy FL 7
Alpharetta, GA 30009-9082
Phone
(352) 428-4480
NPI assigned
Dec 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Authorized official

Name
Dr. Patricia B Wilmoth, PH.D.NPI 1972636751
Title
Psychologist
Phone
(352) 428-4480

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

2300 Lakeview Pkwy FL 7
Alpharetta, GA 30009-9082

Mailing address

2300 Lakeview Pkwy FL 7
Alpharetta, GA 30009-9082

National Provider Directory

National Provider Directory

Locations

2300 Lakeview Pkwy
Fl 7
Alpharetta, GA 30009
Phone (352) 428-4480

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": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1326634858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 LAKEVIEW PKWY FL 7",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300099082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 LAKEVIEW PKWY FL 7",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300099082",
            "telephone_number": "352-428-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMOTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "WILMOTH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "352-428-4480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.