P Praxis·MD
● Active Type 1 · Individual

DR. John Calvin Whitley III, PH.D.

Psychologist·Augusta, GA· NPI 1184607483 · Enumerated 2005 · 20 years on NPI
Whitley is 1 of 53 psychologist providers in Augusta and 1 of 1487 in Georgia.
NPI age
20 years
Enumerated 2005-11-21
Primary specialty
Psychologist
Plus 1 subspecialty
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
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
20 years
↑ 3 yr above median (17 yr)
State licenses
2 states
Top 93% — 6% of peers are multi-state
Subspecialties
0
18% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-11Enumerated in NPPES
2005 2026

Where they practice

Practice location
2828 Hillcreek Dr
Augusta, GA 309095628
📞 7062285006fax 7062281848
Mailing address
2828 Hillcreek Dr
Augusta, GA 309095628
📞 7062285006fax 7062281848

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 #1922SC license #625 taxonomy 103TC0700X

Identifiers

TypeValueNotes
01 (SC) PSO207 MEDICAID
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

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

Recently enumerated nearby: 1 new psychologist provider has been added in Augusta in the last 180 days. See all →
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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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