Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Jessica Kayla Purvis, LCSW

Individual provider Clinical Social Worker · NPI 1790296879

MS. Jessica Kayla Purvis, LCSW is a Clinical Social Worker in Moultrie, Georgia. Qualified in 2015, 11 years ago. Practices with Colquitt Regional Psychiatry LLC, an 8-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2017
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3131 S Main St
Moultrie, GA 31768-6925
Phone: (229) 891-9443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 18 S Main St, Moultrie, GA 31768-4573 — (229) 985-0090

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW006894 (GA)

Record details

NPI number1790296879
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 17, 2017
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Colquitt Regional Psychiatry Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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