Dr Kenwana Michelle Vanderbilt, PSYD - Psychologist in Macon, GA

Dr Kenwana Michelle Vanderbilt, PSYD is a Psychologist - Clinical based in Macon, Georgia. Dr Kenwana Michelle Vanderbilt is licensed to practice in Georgia (license number PSY003494) and her current practice location is Macon Outpatient Clinic- 5398 Thomaston Rd., Suite B, Macon, Georgia. She can be reached at her office (for appointments etc.) via phone at (478) 476-8868.

NPI number for Dr Kenwana Michelle Vanderbilt is 1174864979 and her current mailing address is Macon Outpatient Clinic- 5398 Thomaston Rd., Suite B, Macon, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174864979.

Contact Information

Dr Kenwana Michelle Vanderbilt, PSYD
Macon Outpatient Clinic- 5398 Thomaston Rd., Suite B,
Macon, GA 31220
(478) 476-8868
(478) 476-8161



Healthcare Provider's Profile

Full NameDr Kenwana Michelle Vanderbilt
GenderFemale
SpecialityPsychologist - Clinical
LocationMacon Outpatient Clinic- 5398 Thomaston Rd., Macon, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174864979
  • Provider Enumeration Date: 03/05/2013
  • Last Update Date: 03/09/2016

Medical Identifiers

Medical identifiers for Dr Kenwana Michelle Vanderbilt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174864979NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY003494 (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. Dr Kenwana Michelle Vanderbilt 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 AddressPractice Location Address
Dr Kenwana Michelle Vanderbilt, PSYD
Macon Outpatient Clinic- 5398 Thomaston Rd., Suite B,
Macon, GA 31220

Ph: (478) 476-8868
Dr Kenwana Michelle Vanderbilt, PSYD
Macon Outpatient Clinic- 5398 Thomaston Rd., Suite B,
Macon, GA 31220

Ph: (478) 476-8868

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› Verified 5 days ago


Psychologist in Macon, GA

Dr. Justina Yohannan,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 500 Northside Xing, Macon, GA 31210
Phone: 248-953-8147    
Dr. Mark J. Prigatano, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 146 Pierce Ave, Macon, GA 31204
Phone: 478-746-2333    Fax: 478-845-4493
Dr. Robert Alvin Foster Iii, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3351 Northside Dr, Macon, GA 31210
Phone: 478-201-6636    
Foster Blake Brin, M.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 175 Emery Highway, Macon, GA 31217
Phone: 478-751-4446    Fax: 478-751-4444
Dr. Diane Casanueva Elliott, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 277 Pierce Ave, Macon, GA 31204
Phone: 478-755-0060    Fax: 478-743-3508
Dinah K Ayna, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 250 Martin Luther King Jr Blvd, Macon, GA 31201
Phone: 478-301-4111    Fax: 478-301-2272
Dr. Stacey Smoot Owen, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 5398 Thomaston Rd, Suite B, Macon, GA 31220
Phone: 478-476-8868    Fax: 478-476-8161

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