NPI age
19 years
Enumerated 2007-01-22
● Active
Type 1 · Individual
DR. Willie F Ausborn, PSY.D
Ausborn is 1 of 10 psychologist providers in Tucker and 1 of 1487 in Georgia.
Primary specialty
Psychologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-09-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1487 active psychologist providers in Georgia.
NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
18% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Practice location
4500 Hugh Howell Rd, Suite 740
Tucker, GA 300844723
Mailing address
4500 Hugh Howell Rd, Suite 740
Tucker, GA 300844723
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 (GA) | A3022 | KAISER |
| 01 (GA) | 01000298 | AMERIGROUP |
| 01 (GA) | 000885629A | CENPATICO |
| 05 (GA) | 000885629A | |
| 01 (GA) | 001346 | BLUECROSS BLUESHIELD |
| 01 (GA) | 33-1078488 | NORTHLAKE MEDICAL RESEARC |
Practice context
Part of a multi-provider practice. 20 other active providers share this practice address in NPPES.
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