Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Willie F Ausborn, PSY.D
Clinical Psychologist in Tucker, GA · enumerated 2007.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1366596025
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Registry record
Entity type Individual (Type 1)
Name Dr. Willie F Ausborn
Credential PSY.D
Sex Male
Practice address 4500 Hugh Howell Rd, Suite 740, Tucker, GA, 30084
Phone (770) 938-4616
Fax (770) 938-4615
Enumeration date Jan 22, 2007
Last updated in NPPES Sep 2, 2009
Taxonomy & licenses
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 2449 (GA) Primary
PSYD · Doctor of Psychology: A clinical doctorate in psychology focused on professional practice.
About the PSYD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A3022 | Other | GA | KAISER |
| 01000298 | Other | GA | AMERIGROUP |
| 000885629A | Other | GA | CENPATICO |
| 000885629A | Medicaid | GA | - |
| 001346 | Other | GA | BLUECROSS BLUESHIELD |
| 33-1078488 | Other | GA | NORTHLAKE MEDICAL RESEARC |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is NPI 1366596025 active?
Yes, as of the latest NPPES snapshot, NPI 1366596025 is active (record last updated 2009-09-02).
How do I verify Willie Ausborn's NPI record?
Cross-check NPI 1366596025 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Other providers at this practice address
Browse all → Steven Stewart Family Medicine Physician · Tucker, GA NPI 1679579643 Lee Wilkes Internal Medicine Physician · Tucker, GA NPI 1568441871 Bruce Preston General Practice Dentistry · Tucker, GA NPI 1164574893 Denella Ausborn Clinical Psychologist · Tucker, GA NPI 1174676563 Sai Medical Clinic,P.C Primary Care Clinic/Center · Tucker, GA NPI 1518086081 Jill Mattingly Physician Assistant · Tucker, GA NPI 1770795361 Jerry Wilson Medical Physician Assistant · Tucker, GA NPI 1619153210 The Auc Institute for Career Studies, Inc. Preferred Provider Organization · Tucker, GA NPI 1346413481
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-09-02.