RANDY J. GEORGEMILLER PH.D.
NPI 1205904950
Clinical Neuropsychologist in Fort Gordon, GA

NPI Status: Active since December 01, 2006

Contact Information

300 E HOSPITAL RD
ROOM 13A-10
FORT GORDON, GA
ZIP 30905
Phone: (706) 787-3143

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  • Individual
  • Male
  • Clinical Neuropsychologist

About RANDY GEORGEMILLER

This page provides the complete NPI Profile along with additional information for Randy Georgemiller, a provider established in Fort Gordon, Georgia with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1205904950 assigned on December 2006. The practitioner's primary taxonomy code is 103G00000X with license number PSY003859 (GA). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1205904950
Provider Name
RANDY J. GEORGEMILLER PH.D.
Gender
Male
Entity Type
Individual
Location Address
300 E HOSPITAL RD ROOM 13A-10 FORT GORDON, GA 30905
Location Phone
(706) 787-3143
Mailing Address
300 E HOSPITAL RD ROOM 13A-10 FT GORDON, GA 30905
Mailing Phone
(706) 787-3143
Is Sole Proprietor?
No
Enumeration Date
12-01-2006
Last Update Date
07-20-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
License No.
PSY003859
License State
GA
Taxonomy Description
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

071-003110 (IL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
K38324MEDICARE PIN (08)IL 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205904950, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 1 + 8 + 0 + 8 + 9 + 1 + 0 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1205904950.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Military Hospital (Military General Acute Care Hospital)
300 E HOSPITAL RD, DWIGHT D. EISENHOWER ARMY MEDICAL CENTER
FORT GORDON, GA 30905
Social Worker (Clinical)
300 E HOSPITAL RD, EAMC- RTF- 12 WEST
FT. GORDON, GA 30905
Social Worker (Clinical)
300 E HOSPITAL RD, ROOM 13A-10
FT GORDON, GA 30905
Technician, Other
300 E HOSPITAL RD, OUTPATIENT BEHAVIORAL HEALTH
FORT GORDON, GA 30905
Dietitian, Registered
300 E HOSPITAL RD
FT GORDON, GA 30905
Psychologist
300 E HOSPITAL RD
FORT GORDON, GA 30905
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
300 E HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER
FT GORDON, GA 30905
Urology
300 E HOSPITAL RD, DDEAMC
FORT GORDON, GA 30905
Military Health Care Provider
300 E HOSPITAL RD
FT GORDON, GA 30905
Military Health Care Provider
300 E HOSPITAL RD
FORT GORDON, GA 30905
Registered Nurse
300 E HOSPITAL RD
FT. GORDON, GA 30905
Pharmacist
300 E HOSPITAL RD
FT GORDON, GA 30905
Otolaryngology
300 E HOSPITAL RD
FT. GORDON, GA 30905
Pharmacist
300 E HOSPITAL RD
FORT GORDON, GA 30905
Student in an Organized Health Care Education/Training Program
300 E HOSPITAL RD
FORT GORDON, GA 30905
Student in an Organized Health Care Education/Training Program
300 E HOSPITAL RD
FORT GORDON, GA 30905
Physical Therapy Assistant
300 E HOSPITAL RD
FORT GORDON, GA 30905
Nurse Practitioner (Psychiatric/Mental Health)
300 E HOSPITAL RD
FORT GORDON, GA 30905
Physical Therapist
300 E HOSPITAL RD, ATTN: DEPT OF REHAB
FORT GORDON, GA 30905
Dentist
300 E HOSPITAL RD
FORT GORDON, GA 30905

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205904950, enumerated as an "individual" on December 01, 2006.

The provider is located at 300 E HOSPITAL RD ROOM 13A-10 FORT GORDON, GA 30905 and the phone number is (706) 787-3143.

Clinical Neuropsychologist with taxonomy code 103G00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.