Jacqueline Moyerman, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1583 Issued in GA

Practice address

210 Hannahs Mill Rd
Thomaston, GA 30286-2801

Phone

(706) 646-4543

NPI assigned

Nov 20, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark E. Cotney, D.C., P.C.

  dba Thomaston Chiropractic Clinic

  • Chiropractor
  • Thomaston, GA
  • NPI 1033373964
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1932273786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6326 CAPE COD DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319042916",
            "telephone_number": "706-570-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 HANNAHS MILL RD",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302862801",
            "telephone_number": "706-646-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYERMAN",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "1583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000461469C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "PY4912",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "1583",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David L McSwain, R.PH.
• Michael T Allen DDS, LLC
• Holly D Moore, LMFT
• Mortar and Pestle, LLC (Northside Drugs)
• Moving Spirit Foundation Inc.
• Mrs Homecare, Inc. (Mrs of Thomaston)
• Yvette Murray-Thomas, PA
• New Start Treatment, LLC
• Christina Leigh Huntley Noguera, M.D.
• Northside Drugs, Inc.

• Clinical Psychologist in Thomaston, GA
• Providers in Thomaston, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.