Active NPI
Fiona F Hill, PSY.D.
- Clinical Neuropsychologist
- Decatur, GA
National Provider Identifier
1376611475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 2436
- Practice address
- 755 Commerce Dr
Suite 903
Decatur, GA 30030-2627 - Phone
- (404) 638-5291
- Fax
- (404) 638-5293
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2436 | GA | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 2436 | GA | |
| Adult Development & Aging Psychologist | 103TA0700X | 2436 | GA | |
| Clinical Psychologist | 103TC0700X | 2436 | GA | |
| Forensic Psychologist | 103TF0200X | 2436 | GA | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 2436 | GA | |
| Group Psychotherapy Psychologist | 103TP2701X | 2436 | GA | |
| Rehabilitation Psychologist | 103TR0400X | 2436 | GA | |
| Clinical Neuropsychologist | 103G00000X | 2436 | GA | Primary |
Addresses
Primary practice location
755 Commerce Dr
Suite 903
Decatur, GA 30030-2627
Mailing address
PO Box 2609
Decatur, GA 30031-2609
Phone (404) 638-5291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00913624B | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2436 | GA | MD | Adult Development & Aging Psychologist |
| 002436 | GA | MD | Pediatric Emergency Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Southeast Permanente Medical Group | Current | Accepting new patients |
Locations
3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000
200 Crescent Center Pkwy
Tucker, GA 30084
Phone (770) 496-3609
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1245266956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649894400000",
"number": "1376611475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2609",
"city": "DECATUR",
"state": "GA",
"postal_code": "300312609",
"telephone_number": "404-638-5291",
"fax_number": "404-638-5293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 COMMERCE DR",
"address_2": "SUITE 903",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302627",
"telephone_number": "404-638-5291",
"fax_number": "404-638-5293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "FIONA",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2022-04-14",
"certification_date": "2022-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "2436",
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "2436",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "GA",
"license": "2436",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "2436",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "GA",
"license": "2436",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "GA",
"license": "2436",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "GA",
"license": "2436",
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "GA",
"license": "2436",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "GA",
"license": "2436",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00913624B",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "200 Crescent Center Pkwy",
"city": "Tucker",
"state": "GA",
"country_code": "US",
"postal_code": "300847047",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.