P Praxis·MD
● Active Type 1 · Individual

Tiffany Gilmore Randell, PSY.D.

Psychologist·Fayetteville, GA· NPI 1245655893 · Enumerated 2014 · 12 years on NPI
Gilmore Randell is 1 of 1 psychologist providers in Fayetteville and 1 of 146 in Georgia.
NPI age
12 years
Enumerated 2014-02-19
Primary specialty
Psychologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-02-19
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
12 years
↓ 2 yr below median (14 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
36% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-02Enumerated in NPPES
2014 2026

Where they practice

Practice location
101 Devant Street,, Office 401
Fayetteville, GA 30214
📞 4045855439fax 6788020398
Mailing address
1415 Hwy 85 N, Ste 310-222
Fayetteville, GA 30214
📞 4045855439fax 6788020398

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 #PSY00365 taxonomy 103TC2200X

Identifiers

TypeValueNotes
05 (GA) 430767825A

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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