| Psychological Center For Growth And Development | |
|
200 Gordon Ave Thomasville GA 31792-6640 | |
| (229) 226-0741 | |
| (229) 227-9360 |
| Full Name | Psychological Center For Growth And Development |
|---|---|
| Speciality | Psychologist |
| Location | 200 Gordon Ave, Thomasville, Georgia |
| Authorized Official Name and Position | Joseph M Garmon (OWNER) |
| Authorized Official Contact | 2292260741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Center For Growth And Development 200 Gordon Ave Thomasville GA 31792-6640 Ph: (229) 226-0741 | Psychological Center For Growth And Development 200 Gordon Ave Thomasville GA 31792-6640 Ph: (229) 226-0741 |
| NPI Number | 1831413426 |
|---|---|
| Provider Enumeration Date | 03/25/2010 |
| Last Update Date | 11/04/2010 |
| Medicare PECOS PAC ID | 6901099050 |
|---|---|
| Medicare Enrollment ID | O20101020001603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831413426 | NPI | - | NPPES |
| 160744945A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY002910 (Georgia) | Primary |
| 1041C0700X | Social Worker - Clinical | CSW002353 (Georgia) | Secondary |
| Provider Name | Joseph M Garmon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740259480 PECOS PAC ID: 5991769549 Enrollment ID: I20041115000478 |
| Provider Name | Wendy Vandemark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386698231 PECOS PAC ID: 2264491554 Enrollment ID: I20060802000052 |
| Provider Name | Eugene Y Sun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730398496 PECOS PAC ID: 9638221161 Enrollment ID: I20090715000108 |
| Provider Name | Geri G Richardson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487855870 PECOS PAC ID: 5597940874 Enrollment ID: I20110502000381 |
| Provider Name | Mary Lou Devaul-eshleman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104972025 PECOS PAC ID: 9234210964 Enrollment ID: I20130723000088 |
| Provider Name | Chioma R Ekechukwu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376650275 PECOS PAC ID: 4587735410 Enrollment ID: I20140509001866 |
| Provider Name | Melisa Moore |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1942582820 PECOS PAC ID: 0941527642 Enrollment ID: I20150317002083 |
| Provider Name | Lisa D Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336675487 PECOS PAC ID: 5799055968 Enrollment ID: I20170720001154 |
| Provider Name | Jennifer Ross |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386297471 PECOS PAC ID: 6709118086 Enrollment ID: I20191106002002 |
| Provider Name | Salman Kazim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154437457 PECOS PAC ID: 1153410360 Enrollment ID: I20200723002059 |
| Provider Name | Yvette Evans Fairley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700527264 PECOS PAC ID: 2668869116 Enrollment ID: I20220502000660 |
| Provider Name | Kwaku Oppong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194210021 PECOS PAC ID: 6608246277 Enrollment ID: I20221226000183 |
| Provider Name | Andy Martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144292376 PECOS PAC ID: 0244676195 Enrollment ID: I20240313003327 |
Graves Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 N Stevens St, Thomasville, GA 31792 Phone: 229-221-3442 Fax: 855-560-7664 | |
Georgia Pines Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 367 Shoreline Dr, Apt A&b, Thomasville, GA 31757 Phone: 229-225-4335 Fax: 229-225-4374 | |
Georgia Pines Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14244 Us Highway 19 S, Thomasville, GA 31757 Phone: 229-225-4335 Fax: 229-225-4374 | |
Southwest Community Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 S Pinetree Blvd, Thomasville, GA 31792 Phone: 229-227-2990 Fax: 229-225-4052 | |
Georgia Pines Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 Cloverdale Drive, Thomasville, GA 31792 Phone: 229-233-8904 | |
Crossing Jordan Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 N Broad St Ste 302, Thomasville, GA 31792 Phone: 912-212-5803 Fax: 229-512-3767 | |
Georgia Pines Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1102 Smith Ave, Thomasville, GA 31792 Phone: 229-225-4335 Fax: 229-225-4374 |