P Praxis·MD
● Active Type 1 · Individual

DR. Jackson Patten Rainer, PH.D.

Psychologist·Brookhaven, GA· NPI 1457388019 · Enumerated 2006 · 19 years on NPI
Rainer is 1 of 3 psychologist providers in Brookhaven and 1 of 237 in Georgia.
NPI age
19 years
Enumerated 2006-06-27
Primary specialty
Psychologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-10-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 237 active psychologist providers in Georgia.

NPI age
19 years
↑ 7 yr above median (12 yr)
State licenses
1 state
3% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
3103 Clairmont Rd Ne Ste B
Brookhaven, GA 303291043
📞 4046361457fax 4046367449
Mailing address
1017 Fayetteville Rd Se Ste A
Atlanta, GA 303162932
📞 4046361457fax 4046367449

Specialties

  • Psychologist Primary
    A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and...
    GA license #1142 taxonomy 103TC1900X

Identifiers

TypeValueNotes
01 (GA) 202G704720 PTAN

Practice context

Part of a multi-provider practice. 16 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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