NPI age
19 years
Enumerated 2007-05-15
● Active Type 2 · Organization
Gwendolyn Moddrell MD Pc
Gwendolyn Moddrell MD Pc is 1 of 9 psychologist organizations in Georgia.
Primary specialty
Psychologist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Moddrell
Owner
Last NPPES update
2008-08-12
Source: monthly bulk 2026-05
How this organization compares
Across 9 active psychologist providers in Georgia.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
247 W Main St # B
Swainsboro, GA 304013163
Mailing address
247 W Main St # B
Swainsboro, GA 304013163
Authorized official
Gwendolyn Moddrell, MD
Owner
📞 4782378101
Specialties
-
Psychologist PrimaryA 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...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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