P Praxis·MD
● Active Type 1 · Individual

DR. Tina Marie Caudill, PSY.D.

Psychologist·Douglasville, GA· NPI 1336120930 · Enumerated 2005 · 20 years on NPI
Caudill is 1 of 11 psychologist providers in Douglasville and 1 of 1487 in Georgia.
NPI age
20 years
Enumerated 2005-11-10
Primary specialty
Psychologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-08-24
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
1 state
6% of peers hold multiple states
Subspecialties
0
18% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-11Enumerated in NPPES
2005 2026

Where they practice

Practice location
6264 Hospital Way
Douglasville, GA 301341944
📞 6782329078fax 8664892642
Mailing address
Po Box 1916
Douglasville, GA 301331916
📞 6782329078fax 8664892642

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 #PSY002899 taxonomy 103TC0700X

Identifiers

TypeValueNotes
05 (GA) 112025855D
05 (GA) 112025855E
05 (GA) 112025855F

Practice context

Part of a multi-provider practice. 4 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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