DR. GWENDOLYN L MODDRELL


Address: 215 N Coleman St, Swainsboro, GA 30401-3530
Phone: 4782372638

DR. GWENDOLYN L MODDRELL (NPI# 1932218930) 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) 1932218930
Entity Type Individual
Full Name DR. GWENDOLYN L MODDRELL
Credential MD
Practice Address 215 N Coleman St
Swainsboro
GA 30401-3530
Practice Telephone 4782372638
Practice Fax Number 4782379138
Enumeration Date 2006-08-30
Last Update Date 2012-02-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
025511 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 000891437I 05

Office Location

Street Address 215 N COLEMAN ST
City SWAINSBORO
State GA
Zip Code 30401-3530

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215912670 Delisha Taylor Nurse Practitioner 215 N Coleman St, Swainsboro, GA 30401-3530 2005-12-08
1578007142 Billy Beasley Pharmacist 215 N Coleman St, Swainsboro, GA 30401-3530 2016-12-15
1649632753 Nekey Chiffon Perkins Nurse Practitioner 215 N Coleman St, Swainsboro, GA 30401-3530 2016-03-28
1457733826 Kyle Cannady Nurse Practitioner 215 N Coleman St, Swainsboro, GA 30401-3530 2015-06-22
1386031706 East Georgia Healthcare Center Inc Clinic/Center 215 N Coleman St, Swainsboro, GA 30401-3530 2015-04-23
1376809665 Loretta Duggan Family Medicine 215 N Coleman St, Swainsboro, GA 30401-3530 2012-04-11
1669707139 Daryl Petersen Mccartney Family Medicine 215 N Coleman St, Swainsboro, GA 30401-3530 2009-10-16
1841422359 Glenda V Pettaway Pediatrics 215 N Coleman St, Swainsboro, GA 30401-3530 2009-08-17
1437318524 Gotam Chand Family Medicine 215 N Coleman St, Swainsboro, GA 30401-3530 2008-06-04
1144395369 Claudio D Machado Pediatrics 215 N Coleman St, Swainsboro, GA 30401-3530 2006-11-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114589595 Mandi Marion Wright Nurse Practitioner 117 Kight Road, Swainsboro, GA 30401 2019-07-05
1043767544 Kathy Flakes Licensed Practical Nurse 223 N Anderson Drive, Swainsboro, GA 30401 2016-09-01
1023326220 Family Podiatry Center PC Podiatrist 125a Victory Dr, Swainsboro, GA 30401 2010-09-22
1548578123 United Rehab Inc Clinic/Center 856 U S Highway 1 South, Swainsboro, GA 30401 2010-09-17
1386967305 William Donald Wages Jr. Physical Therapy Assistant 114 Victory Drive, Swainsboro, GA 30401 2010-03-04
1487989885 Jimmy H Maddox Nurse Practitioner 117 Kite Road, Swainsboro, GA 30401 2009-10-02
1649319997 Swainsboro Healthcare PC Family Medicine 305 Kite Road, Swainsboro, GA 30401 2007-02-05
1922153543 Joyce Dianne Spence Registered Nurse 223 Anderson Dr N, Swainsboro, GA 30401 2007-01-24
1942355565 Lucille Sapp Registered Nurse 223 N. Anderson Drive, Swainsboro, GA 30401 2007-01-24
1366592388 Ogeechee Behavioral Health Services Community/Behavioral Health 1007 Highway 56 South, Swainsboro, GA 30401 2007-01-11
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255510772 Daniel F. Ward Psychiatry & Neurology 125c Victory Dr, Swainsboro, GA 30401-3234 2007-10-31
1952495236 David Michael Bate Psychiatry & Neurology 223 N Anderson Dr, Swainsboro, GA 30401-4440 2006-10-03
1962664623 Wesley N Seabolt Psychiatry & Neurology 223 N Anderson Dr, Swainsboro, GA 30401-4440 2008-06-25
1609921493 Roy Thomas Harry Psychiatry & Neurology 223 N Anderson Dr, Swainsboro, GA 30401 2007-01-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164021390 Psychemic Psychiatry & Neurology 125 Clairemont Ave Ste 205, Decatur, GA 30030-2558 2020-10-19
1962010975 Beatrice Nduwimana Psychiatry & Neurology 3499 Henley St, Rex, GA 30273-1758 2020-07-15
1881219145 Mandeep Singh Psychiatry & Neurology 1103 15th St, Augusta, GA 30901-3111 2020-06-12
1427673797 Amanda Seamon Psychiatry & Neurology 997 Saint Sebastian Way # Eg2003, Augusta, GA 30912-2613 2020-06-12
1861016537 Behavioral Health Professionals of Lagrange, LLC Psychiatry & Neurology 145 Maple Trce, Pine Mountain, GA 31822-2826 2020-05-29
1538796073 Relax Medicine, LLC Psychiatry & Neurology 950 Herrington Rd Ste C215, Lawrenceville, GA 30044-7217 2020-03-25
1841826856 Lakisha Denise Hunt Psychiatry & Neurology 1316 Montego Ct, Albany, GA 31705-8015 2020-03-21
1992330492 Oluwafunmilola Olusola Sulaimon Psychiatry & Neurology 6274 Baltusrol Trce, Fairburn, GA 30213-5122 2020-03-05
1285264770 Holistic Family Psychiatry Psychiatry & Neurology 1535 Mount Vernon Rd Ste 100-a, Atlanta, GA 30338-4149 2020-01-23
1255988978 Life Health and Rehab, LLC Psychiatry & Neurology 1637 Athens Hwy Ste A, Grayson, GA 30017-1768 2019-08-19
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City SWAINSBORO
Zip Code 30401

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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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