Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Randy Georgemiller, Ph D , PC

Organization Clinical Psychologist · NPI 1265667935

Randy Georgemiller, Ph D , PC is a Clinical Psychologist in Martinez, Georgia. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4115 Columbia Rd Ste 5-305
Martinez, GA 30907-0405
Phone: (847) 913-5175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071003110 (IL)

Record details

NPI number1265667935
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Georgemiller — President · (847) 913-5175
NPI enumeratedMay 23, 2009
Last updated in NPPESSeptember 5, 2013
Mailing address4115 Columbia Rd, Suite 5-305, Martinez, GA 30907-0405

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