GWENDOLYN MODDRELL MD PC
NPI 1992911234
Psychologist - Prescribing (Medical) in Swainsboro, GA

Q: What is Gwendolyn Moddrell MD PC's NPI number?

The NPI number for Gwendolyn Moddrell MD PC is 1992911234. It was assigned to this organization in the NPPES registry on May 15, 2007.

Q: What is Gwendolyn Moddrell MD PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Active since May 15, 2007

247 W MAIN ST # B, SWAINSBORO, GA 30401(478) 237-8101(478) 237-8118 Get Directions Write a Review

NPPES record last updated: August 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gwendolyn Moddrell Md Pc NPPES

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

GWENDOLYN MODDRELL MD PC (NPI 1992911234) is a healthcare organization registered as a prescribing (medical) in Swainsboro, Georgia and active in the NPI registry since May 2007. The organization lists Gwendolyn Moddrell, Owner, as its authorized official.

NPPES Registry Identity

NPI1992911234

Entity TypeOrganization

Primary Taxonomy103TP0016X

Legal Business NameGWENDOLYN MODDRELL MD PC

Location Address247 W MAIN ST # BSwainsboro, GA 30401-3163

Mailing Address247 W Main St # BSwainsboro, GA 30401-3163 · (478) 237-8101 · Fax (478) 237-8118

Phone(478) 237-8101

Fax(478) 237-8118

Organization SubpartNo

Authorized OfficialGwendolyn ModdrellOwner · (478) 237-8101

Enumeration DateMay 15, 2007

Last NPPES UpdateAugust 12, 2008

✔ NPI 1992911234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers

Taxonomy Code103TP0016X

Definition

A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

247 W MAIN ST # B, Swainsboro, GA 30401

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Gwendolyn Moddrell MD PC's NPI number?

The NPI number for Gwendolyn Moddrell MD PC is 1992911234. It was assigned to this organization in the NPPES registry on May 15, 2007.

Where is Gwendolyn Moddrell MD PC located?

Gwendolyn Moddrell MD PC is located at 247 W Main St # B, Swainsboro, GA 30401. The listed phone number is (478) 237-8101.

What is Gwendolyn Moddrell MD PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

When was this NPI record last updated?

The NPPES record for Gwendolyn Moddrell MD PC was last updated on August 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.