MS. JESSICA KAYLA PURVIS (NPI# 1790296879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790296879 |
| Entity Type | Individual |
| Full Name | MS. JESSICA KAYLA PURVIS |
| Other Name | MRS. KAYLA MICHALE WATSON |
| Credential | LCSW |
| Practice Address |
911 Main St S Tifton GA 31794-4867 |
| Mailing Address |
1821 4th St Se Moultrie GA 31768-6622 |
| Practice Telephone | 2293964689 |
| Practice Fax Number | 2293964605 |
| Mailing Telephone | 2299210407 |
| Mailing Fax Number | 2293863221 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW006894 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366997587 | Jessica Purvis | Chiropractor | 1361 Ne 47th Ct, Oakland Park, FL 33334-4211 | 2016-08-17 |
| 1750535480 | Jessica Katherine Purvis | Speech-Language Pathologist | 30 Cherry Tree Ln, Wilton, NY 12831-2603 | 2008-11-07 |
| 1649423898 | Jessica Dawn Purvis | Mechanotherapist | 7612 Ne 34th Ave Apt 1, Vancouver, WA 98665-0705 | 2008-10-31 |
| 1194020537 | Jessica Marie Purvis | Social Worker | 940 Lasley Dr, Lebanon, IN 46052-1480 | 2011-01-16 |
| Street Address |
911 MAIN ST S |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-4867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463177 | Give Kindness Wing | Community/Behavioral Health | 911 Main St S, Tifton, GA 31794-4867 | 2020-09-28 |
| 1245840511 | Joanna Taylor | Social Worker | 911 Main St S, Tifton, GA 31794-4867 | 2020-08-03 |
| 1558971804 | Wholistic Therapeutic Services | Clinic/Center | 911 Main St S, Tifton, GA 31794-4867 | 2020-08-02 |
| 1356978118 | Vandevelde Moreno and Associates, LLC | Marriage & Family Therapist | 911 Main St S, Tifton, GA 31794-4867 | 2020-03-23 |
| 1770967317 | Alexia Michelle Tanner | Social Worker | 911 Main St S, Tifton, GA 31794-4867 | 2015-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234043 | Deloris Lunsford | Licensed Practical Nurse | 903 Washington St., Tifton, GA 31794 | 2020-01-17 |
| 1194383075 | William Jordan Kinnett | Registered Nurse | 1205 Tift Ave N, Tifton, GA 31794 | 2019-06-05 |
| 1598321200 | Courtlyn Christanna Fussell | Pharmacist | 2201 Hwy 41 N, Tifton, GA 31794 | 2019-05-17 |
| 1376027722 | Martha Gibbs | Nurse Practitioner | Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 | 2018-09-21 |
| 1427541044 | Rebekah F Cottle | Speech-Language Pathologist | 2227 Highway 41 North, Tifton, GA 31794 | 2018-06-08 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1568975431 | Skyler Clark | Pharmacist | 2201 North 12th Street, Tifton, GA 31794 | 2017-11-14 |
| 1538606306 | Imagine Peace Counseling LLC | Counselor | 223 E 2nd Street, Suite B, Tifton, GA 31794 | 2017-01-31 |
| 1073056347 | Jessica Tumbling | Contractor | 219 Savannah Way, Tifton, GA 31794 | 2016-11-18 |
| 1992159503 | Joseph Thomas Seagraves Jr. | Nurse Practitioner | 901 East 18th Street, Tifton, GA 31794 | 2016-04-20 |
| Find all providers in zip 31794 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295277416 | Joshua Alexander White IIi | Social Worker | 340 Tifton Eldorado Rd, Tifton, GA 31794-9497 | 2016-11-07 |
| 1821176801 | Sujette Evitt Giddens | Social Worker | 334 Tifton Eldorado Road, Tifton, GA 31794 | 2006-11-01 |
| 1366467268 | Michele L Walker | Social Worker | 2402 North Tift Ave., Ste. 102 South Georgia Psychiatric and Counseling Cente, Tifton, GA 31794 | 2006-07-12 |
| 1285678359 | Susan Riddle Gordon | Social Worker | 2402 Tift Ave N, Suite 102, Tifton, GA 31794-1883 | 2006-06-16 |
| 1043844418 | Amanda L Cofield | Social Worker | 334 Tifton Eldorado Rd, Tifton, GA 31794-9497 | 2020-02-25 |
| 1245696582 | Walnut Hill Counseling Services LLC | Social Worker | 223 2nd St E, Suite B, Tifton, GA 31794-4493 | 2015-12-31 |
| 1437523859 | Aneisa Marie Young | Social Worker | 334 Tifton Eldorado Rd, Tifton, GA 31794-9497 | 2015-11-23 |
| 1770967317 | Alexia Michelle Tanner | Social Worker | 911 Main St S, Tifton, GA 31794-4867 | 2015-07-14 |
| 1356778435 | Lee Michelle Brooks | Social Worker | 907 18th St E, Suite 150, Tifton, GA 31794-3643 | 2013-10-03 |
| 1891040051 | Kristy P Daniels | Social Worker | 2225 Us Highway 41 N, Tifton, GA 31794-2749 | 2012-07-13 |
| Find all providers in TIFTON | ||||
Please comment or provide details below to improve the information on MS. JESSICA KAYLA PURVIS.
| 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.