Organization Active NPI

Linda a. Wilson PH.D., P.C.

  • Clinical Psychologist
  • Hamilton, GA
National Provider Identifier
1437817525
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LINDA A. WILSON PH.D., P.C.
Practice address
681 Layfield Branch Rd
Hamilton, GA 31811-4110
Phone
(706) 580-1600
Fax
(706) 243-1346
NPI assigned
Dec 6, 2021
Last updated
Dec 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
Dr. Linda A. Wilson, PH.D.
Title
Owner/President
Phone
(706) 580-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

681 Layfield Branch Rd
Hamilton, GA 31811-4110

Mailing address

681 Layfield Branch Rd
Hamilton, GA 31811-4110
Phone (706) 580-1600

Other identifiers 1

IdentifierTypeStateIssuer
0031482448MedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1437817525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 LAYFIELD BRANCH RD",
            "city": "HAMILTON",
            "state": "GA",
            "postal_code": "318114110",
            "telephone_number": "706-580-1600",
            "fax_number": "706-243-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 LAYFIELD BRANCH RD",
            "city": "HAMILTON",
            "state": "GA",
            "postal_code": "318114110",
            "telephone_number": "706-580-1600",
            "fax_number": "706-243-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA A. WILSON PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "706-580-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0031482448",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.