Active NPI
Eugia Littlejohn Meminger, PH.D
- Psychologist
- Tucker, GA
National Provider Identifier
1972562791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 002095
- Practice address
- 200 Crescent Center Pkwy
Tucker, GA 30084-7047 - Phone
- (404) 365-0966
- NPI assigned
- Mar 21, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 002095 | GA | Primary |
Addresses
Primary practice location
200 Crescent Center Pkwy
Tucker, GA 30084-7047
Mailing address
PO Box 2542
Tucker, GA 30085-2542
Phone (678) 886-9296
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000782691B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002095 | GA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Littlejohn Consulting & Psychological Services, LLC | Current | Accepting new patients | |
| First Care EMS Co | Past | Accepting new patients |
Locations
315 W Ponce de Leon Ave
Ste 350
Decatur, GA 30030
Phone (404) 373-2220
Organizations & group practices 2
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.
-
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- Decatur, GA
- NPI 1114252624
-
- Land Ambulance
- Decatur, GA
- NPI 1912413212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1972562791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2542",
"city": "TUCKER",
"state": "GA",
"postal_code": "300852542",
"telephone_number": "678-886-9296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CRESCENT CENTER PKWY",
"city": "TUCKER",
"state": "GA",
"postal_code": "300847047",
"telephone_number": "404-365-0966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEMINGER",
"first_name": "EUGIA",
"middle_name": "LITTLEJOHN",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-21",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "002095",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000782691B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.