Randy J Georgemiller, PHD is a
Clinical Neuropsychologist based in Fort Gordon, Georgia. Randy J Georgemiller is licensed to practice in Georgia (license number PSY003859) and his current practice location is
300 E Hospital Rd, Room 13a-10, Fort Gordon, Georgia. He can be reached at his office (for appointments etc.) via phone at
(706) 787-3143.
NPI number for Randy J Georgemiller is 1205904950 and his current mailing address is 300 E Hospital Rd, Room 13a-10, Ft Gordon, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205904950.
Healthcare Provider's Profile
| Full Name | Randy J Georgemiller |
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| Gender | Male |
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| Speciality | Clinical Neuropsychologist |
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| Location | 300 E Hospital Rd, Fort Gordon, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1205904950
- Provider Enumeration Date: 12/01/2006
- Last Update Date: 07/20/2016
Medical Identifiers
Medical identifiers for Randy J Georgemiller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205904950 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 071-003110 (Illinois) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PSY003859 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Randy J Georgemiller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Randy J Georgemiller, PHD
300 E Hospital Rd, Room 13a-10,
Ft Gordon, GA 30905-5650
Ph: (706) 787-3143 | Randy J Georgemiller, PHD
300 E Hospital Rd, Room 13a-10,
Fort Gordon, GA 30905-5650
Ph: (706) 787-3143 |
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