DR. JENNIFER MICHELLE BRANSCOME


Address: 2236 Bemiss Rd, Valdosta, GA 31602-1942
Phone: 2294749800

DR. JENNIFER MICHELLE BRANSCOME (NPI# 1790240984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790240984
Entity Type Individual
Full Name DR. JENNIFER MICHELLE BRANSCOME
Credential PHD
Practice Address 2236 Bemiss Rd
Valdosta
GA 31602-1942
Mailing Address 2224 Pin Oak Cir
Valdosta
GA 31602-3727
Practice Telephone 2294749800
Practice Fax Number 9125504166
Mailing Telephone 2295070484
Enumeration Date 2019-02-01
Last Update Date 2019-02-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PSY003898 GA Behavioral Health & Social Service Providers

Office Location

Street Address 2236 BEMISS RD
City VALDOSTA
State GA
Zip Code 31602-1942

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689981953 Barthelemy's Optical LLP Optometrist 2236 Bemiss Rd, Suite A, Valdosta, GA 31602-1942 2010-09-08
1972140655 Dustin Ryan Hart Behavior Technician 2236 Bemiss Rd, Valdosta, GA 31602-1942 2019-12-02
1821633801 Cassandra Shanae Mcbride Behavior Technician 2236 Bemiss Rd, Valdosta, GA 31602-1942 2019-11-13
1093379786 Katharine Susan Adams Counselor 2236 Bemiss Rd, Valdosta, GA 31602-1942 2019-04-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477198117 Amber Michele Baugh Behavior Technician 2236 Bemiss Road, Valdosta, GA 31602 2019-11-15
1528611365 Nishaben T. Patel Nurse Practitioner 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 2019-07-22
1427615871 Blair Elizabeth Tomlinson Nurse Practitioner 2124 Lakeshore Drive, Valdosta, GA 31602 2019-05-21
1346704152 Mildred Itaska Borowski Counselor 3790 North Highway 41, Suite A, Valdosta, GA 31602 2019-01-25
1962991703 Southern Healthcare Alliance, LLC Physical Medicine & Rehabilitation 101-f W. Northside Drive, Valdosta, GA 31602 2018-05-08
1336636646 Kaitlyn Thrift Behavioral Analyst 2225 Bemiss Road Suite D, Valdosta, GA 31602 2018-04-23
1407379845 Lindsey Marie Richardson Dentist 103 W. Cranford Ave, Valdosta, GA 31602 2017-07-18
1962922427 Taylor Nicole Fiveash Nurse Practitioner 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 2017-06-26
1720520646 Southern Sleepers Anesthesia LLC Nurse Anesthetist, Certified Registered 4120-b N. Valdosta Road, Valdosta, GA 31602 2016-11-09
1134670557 Cataract and Laser Surgery Center of South Georgia, P.C. Clinic/Center 4120-b N. Valdosta Rd., Valdosta, GA 31602 2016-10-20
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548771876 Aldo Enrique Revilla Psychologist Bermiss Rd, Moody Afb, Valdosta, GA 31699 2017-10-13
1588194799 Ryan Couillou Psychologist 2704 N Oak St Bldg A1, Valdosta, GA 31602-5901 2017-06-20
1447677828 Twyla Lucinda Mancil Psychologist 202 W Gordon St, Suite D, Valdosta, GA 31601-4569 2014-03-24
1881874618 Kellie Hyde Psychologist 5140 Northwind Blvd, Condo 305 East, Valdosta, GA 31605-4506 2007-11-08
1720003262 David Thomas Wasieleski Psychologist 1002 Slater St, Valdosta, GA 31601-3937 2006-07-13
1164870408 Southern Psychological and Behavioral Services, LLC Psychologist 202 W Gordon St, Suite D, Valdosta, GA 31601-4569 2016-05-26
1750632279 Palmtree Psychological Services, LLC Psychologist 111 Woodrow Wilson Dr, Suite B, Valdosta, GA 31602-2587 2012-09-24
1225366172 Marcie C Wiseman Psychologist 2704 N Oak St, Building B-3, Valdosta, GA 31602-1744 2009-12-03
1962516625 Emily Burton Psychologist 2841 N Patterson St, Valdosta, GA 31602-1743 2006-08-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568072015 Karen A Foster Psychologist 2115 Dee Dee Muse Ln Nw, Atlanta, GA 30318-1503 2020-08-08
1013525120 Renato Popovic Psychologist 2601 Cross Country Dr, Columbus, GA 31906-1801 2020-07-15
1275159584 Joe Ann Marie Brandt Psychologist 11706 Mercy Blvd Ste 1, Savannah, GA 31419-1751 2020-06-23
1376164863 Alexander Brikman Psychologist 2374 Main St Ste A, Tucker, GA 30084-4533 2020-05-06
1154942084 Martie Camille Belle Psychologist 1462 Clifton Rd Ne Ste 235, Atlanta, GA 30322-1063 2020-05-01
1518513738 Narjerah Delk Psychologist 1226 Anchor Ter Sw, Atlanta, GA 30311-3402 2019-08-13
1043862907 Lauren Barbara Mcsweeney Psychologist 12 Executive Park Dr Ne Ste 3000, Atlanta, GA 30329-2206 2019-07-11
1356907695 Mc Medical LLC Psychologist 3615 Charles Hardy Pkwy Ste 200, Dallas, GA 30157-9472 2019-05-13
1851853758 Charles A Helm Psychologist 116 Preston Landing Cir, Lithia Springs, GA 30122-6846 2019-04-01
1194285106 Heather Ansari Psychologist 3715 Northside Pkwy Nw Ste 605, Atlanta, GA 30327-2886 2019-03-25
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Competitor

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City VALDOSTA
Zip Code 31602

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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