SHERRY BROADWELL

Address: 517 B Green St Nw, Gainesville, GA 30501-3313

SHERRY BROADWELL (NPI# 1497184121, PAC ID# 4880006634) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1497184121
by National Plan and Provider Enumeration System (NPPES)
PECOS Associate Control (PAC) ID 4880006634
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20201218002066
Last Name BROADWELL
First Name SHERRY
Gender F
Address 517 B Green St Nw
Gainesville
GA 30501-3313
Phone Number 7069493131
Medical School UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduation Year 1998
Primary Specialty PSYCHOLOGIST, CLINICAL
Professional Accepts Medicare Assignment Y

Provider Overview

Nation Provider ID (NPI) 1497184121
by National Plan and Provider Enumeration System (NPPES)
Full Name SHERRY DIANE BROADWELL
Taxonomy Code 103T00000X
Taxonomy Classification Psychologist
Location 517b Green Street, Gainesville, GA 30501

Office Location

Street Address 517 B GREEN ST NW
City GAINESVILLE
State GA
Zip Code 30501-3313

Physicians in the same zip code prefix

Name Specialty Organization Address
Roxana E Araujo Nurse Practitioner Center for Spine and Pain Medicine PC 1016 Thompson Bridge Rd, Gainesville, GA 30501-1704
Vanessa A Schaeffer Psychologist, Clinical 973 Enota Ave, Gainesville, GA 30501-1700
Kent Miller Obstetrics/Gynecology 2350 Limestone Pkwy, Gainesville, GA 30501-2013
Regina Marie Saxton Registered Dietitian Or Nutrition Professional 2565 Thompson Bridge Rd, Suite 111, Gainesville, GA 30501-1723
Maria J Roca Martinez Internal Medicine 1856 Thompson Bridge Rd, Suite 5, Gainesville, GA 30501-1663
Ronald Edward Perry Emergency Medicine 1429 Thompson Bridge Rd, Gainesville, GA 30501-1711
Taylor Rossow Ophthalmology Lanier Eye Associates, LLC 625 S Enota Nedr, Gainesville, GA 30501
Julia H Strong Clinical Social Worker 1709 B Cleveland Hwy, Gainesville, GA 30501-1353
Christopher Hester Certified Registered Nurse Anesthetist Ips of Jacksonville LLC 1016 Thompson Bridge Rd, Gainesville, GA 30501-1704
Kathryn W. Dudas Family Medicine Northeast Georgia Physicians Group Inc 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620
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Competitor

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City GAINESVILLE
Zip Code 30501
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty GAINESVILLE + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.