P Praxis·MD
● Active Type 1 · Individual

DR. Fred W Fussell, PH.D.

Psychologist·Gainesville, GA· NPI 1184654170 · Enumerated 2006 · 19 years on NPI
Fussell is 1 of 12 psychologist providers in Gainesville and 1 of 1114 in Georgia.
NPI age
19 years
Enumerated 2006-07-04
Primary specialty
Psychologist
Licensed in
GA
1 state
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 1114 active psychologist providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
210 Washington St Nw, Ste. 200
Gainesville, GA 305013672
📞 7705363902fax 7705363902
Mailing address
210 Washington St Nw, Ste. 200
Gainesville, GA 305013672
📞 7705363902fax 7705363902

Specialties

  • Psychologist Primary
    A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles,...
    GA license #1302 taxonomy 103T00000X

Identifiers

TypeValueNotes
05 (GA) 00378111A

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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