P Praxis·MD
● Active Type 1 · Individual

DR. Carmine Costello, PHD

Psychologist·Jefferson, GA· NPI 1073227054 · Enumerated 2023 · 3 years on NPI
Costello is 1 of 1 psychologist providers in Jefferson and 1 of 21 in Georgia.
NPI age
3 years
Enumerated 2023-01-13
Primary specialty
Psychologist
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2023-12-01
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 21 active psychologist providers in Georgia.

NPI age
3 years
↓ 14 yr below median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
57% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-01Enumerated in NPPES
2023 2026

Where they practice

Practice location
385 Hightower Trail
Jefferson, GA 30549
📞 7707318257
Mailing address
850 Windy Hill Rd Se Unit 2084
Smyrna, GA 300813039

Specialties

  • Psychologist Primary
    A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
    taxonomy 103TF0200X

Practice context

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

Provyx · Custom healthcare lists

Need all 21 Psychologist providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related