Sherry Broadwell Phd LLC
Sherry Broadwell Phd LLC is a healthcare organization registered as Psychologist in Gainesville, GA, holding Type 2 (organization) NPI 1619583036 since 2020. The authorized official on file is Lynette Clark, Credentialing Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1619583036 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Sherry Broadwell Phd LLC |
| Practice address | 517B GREEN STREET, Gainesville, GA, 30501 |
| Phone | 7069493131 |
| Enumeration date | 2020-09-21 |
| Last updated in NPPES | 2020-09-21 |
Authorized official
| Name | Lynette Clark |
|---|---|
| Title | Credentialing Manager |
| Phone | 7703397667 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 103T00000X | Psychologist | Primary | — | — |
Copy-ready billing details
Provider: Sherry Broadwell Phd LLC NPI: 1619583036 Taxonomy: 103T00000X (Psychologist) Address: 517B GREEN STREET, Gainesville, GA, 30501
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1497184121 | Sherry Broadwell | Individual | Psychologist | Gainesville, GA |
Verify this record
Cross-check NPI 1619583036 against the authoritative CMS record: view Sherry Broadwell Phd LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Sherry Broadwell Phd LLC?
Who is the authorized official for Sherry Broadwell Phd LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-09-21.