P Praxis·MD
● Active Type 1 · Individual

DR. Jill Nicole Dermyer, PSY.D.

Psychologist·Lilburn, GA· NPI 1063758753 · Enumerated 2012 · 13 years on NPI
Dermyer is 1 of 10 psychologist providers in Lilburn and 1 of 1487 in Georgia.
NPI age
13 years
Enumerated 2012-12-27
Primary specialty
Psychologist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-10-25
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1487 active psychologist providers in Georgia.

NPI age
13 years
↓ 4 yr below median (17 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
1
In the 18% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-12Enumerated in NPPES
2012 2026

Where they practice

Practice location
4437 Cedar Wood Dr Sw
Lilburn, GA 300474214
📞 7062071450
Mailing address
4437 Cedar Wood Dr Sw
Lilburn, GA 300474214
📞 7062071450

Specialties

  • Psychologist Primary
    A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a...
    GA license #PSY004554 taxonomy 103TC0700X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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