NPI age
19 years
Enumerated 2006-09-19
● Active
Type 1 · Individual
Thomas William Pedersen, PSY.D.
Pedersen is 1 of 3 psychologist providers in Ringgold and 1 of 1487 in Georgia.
Primary specialty
Psychologist
Plus 1 subspecialty
Licensed in
TN, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2014-03-20
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
19 years
↑ 2 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 · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Practice location
561 Kailors Cove Cir
Ringgold, GA 307363372
Mailing address
561 Kailors Cove Cir
Ringgold, GA 307363372
Specialties
-
Psychologist PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TN) | 680011023 | RR MEDICARE W PARADIGM |
| 05 (TN) | 3584286 | |
| 01 (TN) | 3138951 | BCBS W PARADIGM |
| 05 (GA) | 235954957B |
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.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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