Provider Demographics
NPI:1376611475
Name:HILL, FIONA F (PSYD)
Entity Type:Individual
Prefix:DR
First Name:FIONA
Middle Name:F
Last Name:HILL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2609
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30031-2609
Mailing Address - Country:US
Mailing Address - Phone:404-638-5291
Mailing Address - Fax:404-638-5293
Practice Address - Street 1:755 COMMERCE DR
Practice Address - Street 2:SUITE 903
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-2627
Practice Address - Country:US
Practice Address - Phone:404-638-5291
Practice Address - Fax:404-638-5293
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2436103T00000X, 103TA0400X, 103TA0700X, 103TC0700X, 103TF0200X, 103TM1800X, 103TP2701X, 103TR0400X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00913624BMedicaid
GA68BBGHRMedicare Oscar/Certification
GA68BBGHRMedicare PIN
GA68BBGHRMedicare UPIN