SHERRY DIANE BROADWELL PHD
NPI 1497184121
Psychologist in Gainesville, GA

Active since November 04, 2013Opted out of Medicare · through Apr 1, 2027
517B GREEN STREET, GAINESVILLE, GA 30501(706) 949-3131 Get Directions Write a Review

NPPES record last updated: September 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sherry Diane Broadwell Phd NPPES

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

SHERRY DIANE BROADWELL PHD (NPI 1497184121) is an individual psychologist in Gainesville, Georgia and active in the NPI registry since November 2013. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1497184121
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSHERRY DIANE BROADWELLCredential: PHD
Location Address517B GREEN STREETGainesville, GA 30501
Mailing AddressPo Box 716Clarkesville, GA 30523-0012 · (706) 949-3131
Sole ProprietorYes
Enumeration DateNovember 4, 2013
Last NPPES UpdateSeptember 21, 2020
NPPES CertifiedSeptember 21, 2020
NPI 1497184121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
517B GREEN STREET, Gainesville, GA 30501

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Sherry Diane Broadwell Phd 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 April 1, 2021 through April 1, 2027.

Opt-Out Effective DateApril 1, 2021
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

Psychologist
517B GREEN STREET
GAINESVILLE, GA 30501

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 Sherry Broadwell's NPI number?

The NPI number for Sherry Broadwell is 1497184121. It was assigned to this individual provider in the NPPES registry on November 4, 2013.

Where is Sherry Broadwell located?

Sherry Broadwell practices at 517B Green Street, Gainesville, GA 30501. The listed phone number is (706) 949-3131.

What is Sherry Broadwell's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Sherry Broadwell enrolled in Medicare?

No. Sherry Broadwell has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sherry Broadwell was last updated on September 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.