JANA REVELS (NPI# 1336791425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336791425 |
| Entity Type | Individual |
| Full Name | JANA REVELS |
| Credential | NP |
| Practice Address |
1900 Tebeau St Waycross GA 31501-6357 |
| Practice Telephone | 9122833030 |
| Mailing Telephone | 9122833030 |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 197816 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1900 TEBEAU ST |
| City | WAYCROSS |
| State | GA |
| Zip Code | 31501-6357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235112913 | James H Bloodworth | Pathology | 1900 Tebeau St, Waycross, GA 31501 | 2005-11-28 |
| 1740893148 | Colleen Chloe Mcconnell | Physician Assistant | 1900 Tebeau St, Waycross, GA 31501-6357 | 2020-08-25 |
| 1720619554 | Tierra Carter | Nurse Practitioner | 1900 Tebeau St, Waycross, GA 31501-6357 | 2020-01-30 |
| 1174188668 | Carly Zoe Swett | Physician Assistant | 1900 Tebeau St, Waycross, GA 31501-6357 | 2019-05-09 |
| 1902374911 | Georgia Infectious Disease Consultants | Internal Medicine | 1900 Tebeau St, Waycross, GA 31501-6357 | 2018-11-07 |
| 1851869150 | Stacy Heather Exum Edgar | Nurse Practitioner | 1900 Tebeau St, Waycross, GA 31501-6357 | 2018-11-05 |
| 1831665389 | Mikayla Brittney Freeman | Physician Assistant | 1900 Tebeau St, Emergency Department, Waycross, GA 31501 | 2018-10-22 |
| 1629544358 | Anna Marie Bogdanov | Physician Assistant | 1900 Tebeau St, Waycross, GA 31501 | 2018-10-20 |
| 1306368329 | Carmen Yolanda Jackson | Nurse Practitioner | 1900 Tebeau St, Waycross, GA 31501-6357 | 2017-07-11 |
| 1518494871 | Anesthesia Physician Solutions of Georgia, LLC | Anesthesiology | 1900 Tebeau St, Waycross, GA 31501-6357 | 2017-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962906115 | Davenport Health Pa | Family Medicine | 1401 Cherokee Drive, Waycross, GA 31501 | 2018-03-22 |
| 1962940478 | Blake Darren Aldridge | Physical Therapy Assistant | 401 Preston Street, Waycross, GA 31501 | 2017-02-03 |
| 1669922142 | Jebediah S. Christy Dds - Waycross Pllc | Dentist | 2271 Memorial Dr, Waycross, GA 31501 | 2016-10-10 |
| 1558721944 | Jana Kirby | Massage Therapist | 1599 Knight Ave., Kallman Chiropractic Center, Waycross, GA 31501 | 2016-02-29 |
| 1962877001 | Courtney Baldwin | Specialist/Technologist, Other | 2403 Spurgeon St, Waycross, GA 31501 | 2015-12-01 |
| 1912389784 | Grayson Stuart Griffis | Dentist | 2103 Tebeau St., Waycross, GA 31501 | 2015-06-29 |
| 1730561267 | Trishla Amit Desai | Internal Medicine | Memorial Satilla Health, 1900 Tebeau Street, Waycross, GA 31501 | 2015-06-20 |
| 1316330913 | Hanger Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 512 City Blvd Ste H, Waycross, GA 31501 | 2015-03-06 |
| 1942699079 | Jose Ramon Martinez | Anesthesiology | 701 City Blvd, Waycross, GA 31501 | 2015-01-13 |
| 1023356714 | Orthopedics Surgeons of Georgia, LLC | Orthopaedic Surgery | 2015 Alice Street, Waycross, GA 31501 | 2013-01-30 |
| Find all providers in zip 31501 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568071777 | Jacqueline H Moder | Nurse Practitioner | 1912 Memorial Dr Ste E, Waycross, GA 31501-0989 | 2020-07-24 |
| 1740805134 | Kyashirah Barner Wright | Nurse Practitioner | 1410 Roosevelt St, Waycross, GA 31503-4842 | 2020-06-10 |
| 1295387751 | Betsy Erin Tanner | Nurse Practitioner | 2505 Longhorn Rd, Waycross, GA 31501-7639 | 2019-07-15 |
| 1144744087 | Ashley Nicole White | Nurse Practitioner | 2003a Pioneer St, Waycross, GA 31501-6249 | 2017-08-02 |
| 1861884215 | Teawka Fullmore | Nurse Practitioner | 711 Knight Avenue, Waycross, GA 31501-1943 | 2015-02-23 |
| 1740813948 | Jenna Holland Williams | Nurse Practitioner | 2015 Alice St, Waycross, GA 31501-6209 | 2020-02-15 |
| 1760966378 | Dallas Boyett | Nurse Practitioner | 1501 Alice St, Waycross, GA 31501-4530 | 2018-09-19 |
| 1407382021 | Traci Bowers Howard | Nurse Practitioner | 505 City Blvd, Waycross, GA 31501-8003 | 2017-05-02 |
| 1720442239 | Lauren Carden Turner | Nurse Practitioner | 1720 Old Reynolds St, Waycross, GA 31501-1036 | 2016-04-11 |
| 1164796488 | Leanna Jaye Lewis | Nurse Practitioner | 303 Darling Ave, Waycross, GA 31501-5223 | 2012-03-05 |
| Find all providers in WAYCROSS | ||||
Please comment or provide details below to improve the information on JANA REVELS.
| 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.