Jennifer Scott Sudderth, LPC, CCS is a
Counselor - Professional based in Dewy Rose, Georgia. Jennifer Scott Sudderth is licensed to practice in Georgia (license number 012819) and her current practice location is
1737 Hewell Rd Nw, Dewy Rose, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 371-4020.
NPI number for Jennifer Scott Sudderth is 1245688241 and her current mailing address is 1737 Hewell Rd Nw, Dewy Rose, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245688241.
Healthcare Provider's Profile
Full Name | Jennifer Scott Sudderth |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 1737 Hewell Rd Nw, Dewy Rose, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245688241
- Provider Enumeration Date: 05/31/2016
- Last Update Date: 06/12/2023
Medical Identifiers
Medical identifiers for Jennifer Scott Sudderth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245688241 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 7371 (South Carolina) | Secondary |
101YP2500X | Counselor - Professional | 012819 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Scott Sudderth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Scott Sudderth, LPC, CCS 1737 Hewell Rd Nw, Dewy Rose, GA 30634-2956 Ph: (706) 371-4020 | Jennifer Scott Sudderth, LPC, CCS 1737 Hewell Rd Nw, Dewy Rose, GA 30634-2956 Ph: (706) 371-4020 |
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