JENNIFER JOHNSON SLADE (NPI# 1013147503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013147503 |
| Entity Type | Individual |
| Full Name | JENNIFER JOHNSON SLADE |
| Credential | CPNP-PC |
| Practice Address |
3888 Northside Dr Macon GA 31210-2417 |
| Practice Telephone | 4784774044 |
| Practice Fax Number | 4784777076 |
| Mailing Telephone | 4784774044 |
| Mailing Fax Number | 4784777076 |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2009-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN117428 NP | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801291372 | Jennifer Slade | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1590 | 2014-10-27 |
| 1346492626 | Jennifer Scarborough Slade | Physical Therapist | 670 S 8th St, Griffin, GA 30224-4214 | 2008-10-17 |
| Street Address |
3888 NORTHSIDE DR |
| City | MACON |
| State | GA |
| Zip Code | 31210-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891780094 | Laurie H Gillespie | Pediatrics | 3888 Northside Dr, Macon, GA 31210-2417 | 2005-09-13 |
| 1598232944 | Northside Pediatrics PC | Pediatrics | 3888 Northside Dr, Macon, GA 31210-2417 | 2018-10-24 |
| 1104895614 | Emmett Reaves Berry | Pediatrics | 3888 Northside Dr, Macon, GA 31210-2417 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
| 1578539649 | Jennifer Campbell | Nurse Practitioner | 550 Professional Dr, Macon, GA 31201-1411 | 2006-02-27 |
| 1376008110 | Joanna Jarrell | Nurse Practitioner | 1062 Forsyth St Ste 2e, Macon, GA 31201-8631 | 2019-02-06 |
| 1821569716 | Keilah Wynn Jones | Nurse Practitioner | 550 Professional Dr, Macon, GA 31201-1411 | 2018-12-17 |
| 1962917773 | Amy Wood | Nurse Practitioner | 550 Professional Dr, Macon, GA 31201-1411 | 2017-12-04 |
| 1245621705 | Stefanie Smith Tate | Nurse Practitioner | 550 Professional Dr, Macon, GA 31201-1411 | 2015-02-05 |
| 1588072334 | Carrie Smith | Nurse Practitioner | 550 Professional Dr, Macon, GA 31201-1411 | 2014-07-24 |
| 1215371489 | Julia Elizabeth Yawn | Nurse Practitioner | 550 Professional Dr, Macon, GA 31201-1411 | 2013-04-18 |
| 1275888661 | Hannah R Beauchamp | Nurse Practitioner | 770 Pine St, Ste 520, Macon, GA 31201-2173 | 2012-07-21 |
| Find all providers in MACON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.