DR. WILLIE F AUSBORN PSY.D
NPI 1366596025
Psychologist - Clinical in Tucker, GA

Q: What is Willie Ausborn's NPI number?

The NPI number for Willie Ausborn is 1366596025. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Q: What is Willie Ausborn's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Willie Ausborn was last updated on September 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 22, 2007

4500 HUGH HOWELL RD, SUITE 740, TUCKER, GA 30084(770) 938-4616(770) 938-4615 Get Directions Write a Review

NPPES record last updated: September 2, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Willie F Ausborn Psy.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLIE F AUSBORN PSY.D (NPI 1366596025) is an individual clinical provider in Tucker, Georgia, licensed in Georgia (2449) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1366596025

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. WILLIE F AUSBORNCredential: PSY.D

Location Address4500 HUGH HOWELL RD, SUITE 740Tucker, GA 30084-4723

Mailing Address4500 Hugh Howell Rd, Suite 740Tucker, GA 30084-4723 · (770) 938-4616 · Fax (770) 938-4615

Phone(770) 938-4616

Fax(770) 938-4615

Sole ProprietorNo

Enumeration DateJanuary 22, 2007

Last NPPES UpdateSeptember 2, 2009

✔ NPI 1366596025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in GA · 2449

Definition

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 specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

4500 HUGH HOWELL RD, Tucker, GA 30084

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Other Identifiers 7

Medicaid000885629AGA

Other33-1078488GA · Northlake Medical Researc

OtherA3022GA · Kaiser

Medicare ID-Type Unspecified68BBGBMGA

Other000885629AGA · Cenpatico

Other001346GA · Bluecross Blueshield

Other01000298GA · Amerigroup

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRUCE ALAN PRESTON D.M.D

Dentist (General Practice)

4500 HUGH HOWELL RD, SUITE 310
TUCKER, GA 30084

Dekalb County (770) 938-3311

DR. DENELLA LAZENBY AUSBORN PSY.D.

Psychologist (Clinical)

4500 HUGH HOWELL RD, SUITE 740
TUCKER, GA 30084

Dekalb County (770) 938-4616

LAFAYETTE MEDICAL AND ALTERNATIVE HEALTH

Nursing Facility/Intermediate Care Facility

4500 HUGH HOWELL RD, 320
TUCKER, GA 30084

Dekalb County (770) 621-9405

STEWART FAMILY PRACTICE, PC

Family Medicine

4500 HUGH HOWELL RD, STE 220
TUCKER, GA 30084

Dekalb County (770) 469-0668

DR. JOO-WON KIM DDS

Dentist (General Practice)

4500 HUGH HOWELL RD, SUITE 140
TUCKER, GA 30084

Dekalb County (770) 938-9090

DEIRDRE BONAPARTE MA, CCC-SLP

Speech-Language Pathologist

4500 HUGH HOWELL RD, SUITE 780
TUCKER, GA 30084

Dekalb County (678) 462-1342

THE AUC INSTITUTE FOR CAREER STUDIES, INC.

Preferred Provider Organization

4500 HUGH HOWELL RD, SUITE 380
TUCKER, GA 30084

Dekalb County (678) 388-9770

TRADING FACES LLC

Community/Behavioral Health

4500 HUGH HOWELL RD, SUITE 380
TUCKER, GA 30084

Dekalb County (678) 388-9770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willie Ausborn's NPI number?

The NPI number for Willie Ausborn is 1366596025. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Willie Ausborn located?

Willie Ausborn practices at 4500 Hugh Howell Rd Suite 740, Tucker, GA 30084. The listed phone number is (770) 938-4616.

What is Willie Ausborn's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Willie Ausborn accept?

Health plans from Providence Health Plan list Willie Ausborn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Willie Ausborn was last updated on September 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.