OrganizationActive
Sherry Broadwell PHD LLC
NPI 1619583036 · Psychologist · Gainesville, GA
Sherry Broadwell PHD LLC is a Psychologist organization in Gainesville, GA (NPI 1619583036).
Provider details
- NPI number
- 1619583036
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Lynette Clark, Credentialing Manager(770) 339-7667
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
517b Green Street
Gainesville, GA 30501
Phone: (706) 949-3131
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 716
Clarkesville, GA 30523-0012
Registry dates
- Enumerated
- 2020-09-21
- Last updated
- 2020-09-21
- Certified
- 2020-09-21
Frequently asked questions
- What is Sherry Broadwell PHD LLC's NPI number?
- Sherry Broadwell PHD LLC's National Provider Identifier (NPI) is 1619583036, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sherry Broadwell PHD LLC?
- Sherry Broadwell PHD LLC is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Sherry Broadwell PHD LLC located?
- Sherry Broadwell PHD LLC's practice location on file with NPPES is 517b Green Street, Gainesville, GA 30501.
- What is Sherry Broadwell PHD LLC's phone number?
- The practice phone number listed in the NPPES registry for Sherry Broadwell PHD LLC is (706) 949-3131.
- Who is the authorized official for Sherry Broadwell PHD LLC?
- The authorized official listed on Sherry Broadwell PHD LLC's NPPES record is Lynette Clark, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sherry Broadwell PHD LLC's NPI active?
- Yes — Sherry Broadwell PHD LLC's NPI (1619583036) is active in the NPPES registry as of the last update on 2020-09-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.