DR. JUDY ANN KERLEY PH.D.
NPI 1316019029
Psychologist - Clinical in Suwanee, GA

Q: What is Judy Kerley's NPI number?

The NPI number for Judy Kerley is 1316019029. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Q: What is Judy Kerley's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Judy Kerley enrolled in Medicare?

No. Judy Kerley has opted out of Medicare through February 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Judy Kerley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 15, 2006Opted out of Medicare · through Feb 1, 2028

4411 SUWANEE DAM RD, SUITE 920, SUWANEE, GA 30024(678) 714-9590(678) 714-9535 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Judy Ann Kerley Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUDY ANN KERLEY PH.D. (NPI 1316019029) is an individual clinical provider in Suwanee, Georgia, licensed in Georgia (GA02400) and active in the NPI registry since November 2006. She has opted out of Medicare through February 1, 2028.

NPPES Registry Identity

NPI1316019029

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JUDY ANN KERLEYCredential: PH.D.

Location Address4411 SUWANEE DAM RD, SUITE 920Suwanee, GA 30024-8701

Mailing Address4411 Suwanee Dam Rd, Suite 920Suwanee, GA 30024-8701 · (678) 714-9590 · Fax (678) 714-9535

Phone(678) 714-9590

Fax(678) 714-9535

Sole ProprietorYes

Enumeration DateNovember 15, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1316019029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in GA · GA02400

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

4411 SUWANEE DAM RD, Suwanee, GA 30024

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Judy Ann Kerley Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 1, 2024 through February 1, 2028.

Opt-Out Effective DateFebruary 1, 2024

Opt-Out In Effect ThroughFebruary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY GRACE THOMAS, PH.D.,P.C.

Psychologist

4411 SUWANEE DAM RD, SUITE 920
SUWANEE, GA 30024

Gwinnett County (678) 714-9590

MRS. WENDY BARIBEAU LAMFT

Marriage & Family Therapist

4411 SUWANEE DAM RD, SUITE 720
SUWANEE, GA 30024

Gwinnett County (678) 993-8494

MINDY PIERCE

Counselor (Professional)

4411 SUWANEE DAM RD, SUITE 440
SUWANEE, GA 30024

Gwinnett County (404) 861-0942

AMPARO GABRIELA SOTO OT

Occupational Therapist

4411 SUWANEE DAM RD
SUWANEE, GA 30024

Gwinnett County (678) 482-2158

JEFF WEBER, ED.D., P.C.

Psychologist

4411 SUWANEE DAM RD, SUITE 920
SUWANEE, GA 30024

Gwinnett County (678) 714-9590

MARIA-ELENA GROGAN BOVE PT

Physical Therapist

4411 SUWANEE DAM RD, SUITE 330
SUWANEE, GA 30024

Gwinnett County (770) 904-2332

JOHN DAVID BOVE PT

Physical Therapist

4411 SUWANEE DAM RD, SUITE 330
SUWANEE, GA 30024

Gwinnett County (770) 904-2332

JANE CHOE-DOBIAS PT

Specialist

4411 SUWANEE DAM RD
SUWANEE, GA 30024

Gwinnett County (770) 904-2332

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judy Kerley's NPI number?

The NPI number for Judy Kerley is 1316019029. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Judy Kerley located?

Judy Kerley practices at 4411 Suwanee Dam Rd Suite 920, Suwanee, GA 30024. The listed phone number is (678) 714-9590.

What is Judy Kerley's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Judy Kerley enrolled in Medicare?

No. Judy Kerley has opted out of Medicare through February 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Judy Kerley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.