JAYMIE HELEN LUCKOW FOX SOLE MBR
NPI 1376059998
Psychologist - Clinical in Peachtree Corners, GA

Active since December 19, 2017
4046 WETHERBURN WAY STE 1, PEACHTREE CORNERS, GA 30092(770) 696-4384 Get Directions Write a Review

NPPES record last updated: December 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jaymie Helen Luckow Fox Sole Mbr NPPES

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

JAYMIE HELEN LUCKOW FOX SOLE MBR (NPI 1376059998) is a healthcare organization registered as a clinical in Peachtree Corners, Georgia and active in the NPI registry since December 2017. The organization lists Jaymie L Fox, Owner, as its authorized official.

NPPES Registry Identity

NPI1376059998
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameGEORGIA AUTISM CENTER LLC
Location Address4046 WETHERBURN WAY STE 1Peachtree Corners, GA 30092-4614
Mailing Address4046 Wetherburn Way Ste 1Peachtree Corners, GA 30092-4614 · (770) 696-4384
Organization SubpartNo
Authorized OfficialJaymie L FoxOwner · (770) 696-4384
Enumeration DateDecember 19, 2017
NPI 1376059998 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 · PSY2999
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.
4046 WETHERBURN WAY STE 1, Peachtree Corners, GA 30092

Other Names 1

Doing Business AsJaymie Helen Luckow Fox Sole Mbr

Other Identifiers 1

Medicaid380415072CGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Psychologist
4046 WETHERBURN WAY STE 1
PEACHTREE CORNERS, GA 30092
Counselor (Professional)
4046 WETHERBURN WAY STE 1
PEACHTREE CORNERS, GA 30092
Psychologist
4046 WETHERBURN WAY STE 1
PEACHTREE CORNERS, GA 30092

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 Georgia Autism Center LLC's NPI number?

The NPI number for Georgia Autism Center LLC is 1376059998. It was assigned to this organization in the NPPES registry on December 19, 2017. The provider is doing business as Jaymie Helen Luckow Fox Sole Mbr.

Where is Georgia Autism Center LLC located?

Georgia Autism Center LLC is located at 4046 Wetherburn Way Ste 1, Peachtree Corners, GA 30092. The listed phone number is (770) 696-4384.

What is Georgia Autism Center LLC's specialty?

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

What insurance does Georgia Autism Center LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Georgia Autism Center LLC 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 Georgia Autism Center LLC was last updated on December 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.