P Praxis·MD
● Active Type 1 · Individual

Sherry Diane Broadwell, PHD

Psychologist·Gainesville, GA· NPI 1497184121 · Enumerated 2013 · 12 years on NPI
Broadwell is 1 of 12 psychologist providers in Gainesville and 1 of 1114 in Georgia.
NPI age
12 years
Enumerated 2013-11-04
Primary specialty
Psychologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-09-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1114 active psychologist providers in Georgia.

NPI age
12 years
↓ 5 yr below median (17 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-11Enumerated in NPPES
2013 2026

Where they practice

Practice location
517b Green Street
Gainesville, GA 30501
📞 7069493131
Mailing address
Po Box 716
Clarkesville, GA 305230012
📞 7069493131

Specialties

  • Psychologist Primary
    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,...
    taxonomy 103T00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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