Patricia B Wilmoth, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2696 Issued in FL

Practice address

2300 Lakeview Pkwy FL 7
Alpharetta, GA 30009-9082

Phone

(352) 428-4480

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Wilmoth LLC

  • Psychologist
  • Alpharetta, GA
  • NPI 1326634858
  NPD Authorized official

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1972636751",
    "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",
            "telephone_number": "352-428-4480"
        },
        {
            "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": {
        "last_name": "WILMOTH",
        "first_name": "PATRICIA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "2696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Williamson, LPC
• Charity Willis, ARNP
• Gary L Willis, D.C.
• Dawn Willoughby, MS, CCCSLP
• Wilmoth LLC
• Christie Eve Wilson, MS, ATC
• Danelle Phelps Wilson, M.D.
• Jacintha Wilson
• Johanna Daisy Wilson, PA-C
• Katelyn Elise Wilson, PT, DPT

• Psychologist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Psychologist in Georgia

• 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.