P Praxis·MD
● Active Type 1 · Individual

DR. Diane Casanueva Elliott, PHD

Psychologist·MacOn, GA· NPI 1083768402 · Enumerated 2007 · 19 years on NPI
Elliott is 1 of 2 psychologist providers in MacOn and 1 of 146 in Georgia.
NPI age
19 years
Enumerated 2007-01-23
Primary specialty
Psychologist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-06-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 146 active psychologist providers in Georgia.

NPI age
19 years
↑ 5 yr above median (14 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
36% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
277 Pierce Ave
MacOn, GA 312042419
📞 4787550060fax 4787433508
Mailing address
277 Pierce Ave
MacOn, GA 312042419
📞 4787550060fax 4787433508

Specialties

  • Psychologist Primary
    A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical...
    GA license #PSY003112GA license #PST000800 taxonomy 103TC2200X

Identifiers

TypeValueNotes
05 (GA) 556624291A

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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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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