Individual provider Active NPI

Gary Jonathan Hill, PHD

  • Clinical Psychologist
  • Cartersville, GA
National Provider Identifier
1457730491
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
003888 Issued in GA
Practice address
17 Felton PL Ste a
Cartersville, GA 30120-2153
Phone
(770) 386-8996
NPI assigned
May 22, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 003888 GA Primary

Addresses

Primary practice location

17 Felton PL Ste a
Cartersville, GA 30120-2153

Mailing address

664 Woodward Ave SE
Atlanta, GA 30312-3346
Phone (314) 973-8185

Other names 1

  • Dr. Jonathan Hill Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology and Counseling Centers PC Clinical CurrentSince Nov 1, 2015 Accepting new patients

Locations

17 Felton Pl
Ste A
Cartersville, GA 30120
Phone (770) 386-8996

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.

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1457730491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 WOODWARD AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303123346",
            "telephone_number": "314-973-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 FELTON PL STE A",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202153",
            "telephone_number": "770-386-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "GARY",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "003888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONATHAN",
            "last_name": "HILL",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cartersville, GA

Sources for this page

Verify at the official NPI Registry.