JENNIFER DOROUGH


Address: 400 Charter Blvd, Macon, GA 31210-4831
Phone: 4787578200

JENNIFER DOROUGH (NPI# 1295219939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295219939
Entity Type Individual
Full Name JENNIFER DOROUGH
Credential NP
Practice Address 400 Charter Blvd
Macon
GA 31210-4831
Mailing Address 4806 Guerry Dr
Macon
GA 31210-4104
Practice Telephone 4787578200
Mailing Telephone 4783203480
Enumeration Date 2018-09-19
Last Update Date 2018-09-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner RN200221 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA ADVANCED PRACTICE NP RN200221 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
2040 Bowman Park Ste A, Macon, GA 312105782 4787558400

Office Location

Street Address 400 CHARTER BLVD
City MACON
State GA
Zip Code 31210-4831

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306814231 John W Hightower Anesthesiology 400 Charter Blvd, Macon, GA 31210-4831 2006-03-08
1013548494 Chelsea Hayman Registered Nurse 400 Charter Blvd, Macon, GA 31210-4853 2020-02-04
1417509001 Kristi Tucker Jones Nurse Practitioner 400 Charter Blvd, Macon, GA 31210-4831 2019-07-12
1578035457 Gloria Iris Smith Nurse Practitioner 400 Charter Blvd, Macon, GA 31210-4853 2018-12-17
1104326271 Martha Katherine Lennington Physician Assistant 400 Charter Blvd, Macon, GA 31210-4831 2018-02-15
1316455751 Cessalee Ann Swars Nurse Practitioner 400 Charter Blvd, Macon, GA 31210-4831 2018-01-19
1578071387 Jessica Danielle Olavarria Nurse Practitioner 400 Charter Blvd, Macon, GA 31210-4831 2018-01-15
1235504192 Charter Inpatient Services LLC Nurse Practitioner 400 Charter Blvd, Macon, GA 31210-4831 2015-12-03
1144693920 Appleseed Emergency Physicians, LLC Physician Assistant 400 Charter Blvd, Macon, GA 31210-4831 2015-11-03
1992178776 Omega Emergency Physicians, LLC Physician Assistant 400 Charter Blvd, Macon, GA 31210-4831 2015-11-03
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821604158 Tekeria Gallemore Nurse Practitioner 204 Rockingham Pl, Macon, GA 31217-2615 2020-09-22
1710534839 Tuwanna Yvette Brooks Nurse Practitioner 2685 Cherokee Ave, Macon, GA 31204-3940 2019-08-22
1568019206 Candace W Webb Nurse Practitioner 770 Pine St Ste 310, Macon, GA 31201-7587 2019-08-19
1013579846 Rachel Michelle Applegate Nurse Practitioner 657 Hemlock St Ste 200, Macon, GA 31201-8324 2019-07-02
1447813993 Amelia Angelica Harpe Mills Nurse Practitioner 3300 N Ingle Pl Apt 6e, Macon, GA 31210-2529 2019-04-19
1922563287 Vanessa Lott Nurse Practitioner 107 William Way, Macon, GA 31216-6160 2019-01-31
1649771155 Tory Kirsten Etheridge Nurse Practitioner 688 Walnut St Ste 200, Macon, GA 31201-0333 2018-02-21
1003324112 Jared L Jarrett Np, LLC Nurse Practitioner 770 Pine St Ste 560, Macon, GA 31201-7569 2018-01-11
1699281360 Charneika C Brown Nurse Practitioner 639 Hemlock St Ste 100, Macon, GA 31201-6889 2017-12-18
1821512393 Bridgette Rebecca Harrison Nurse Practitioner 193 John Michael Drive, Macon, GA 31211 2017-07-27
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Competitor

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City MACON
Zip Code 31210

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Dataset Information

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.

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