TRAVIS B JENNEY


Address: 1968 Peachtree Road Nw, Atlanta, GA 30309-1281
Phone: 4043511745

TRAVIS B JENNEY (NPI# 1548410012) 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) 1548410012
Entity Type Individual
Full Name TRAVIS B JENNEY
Credential PAAA
Practice Address 1968 Peachtree Road Nw
Atlanta
GA 30309-1281
Mailing Address Po Box 551420
Fort Lauderdale
FL 33355-1420
Practice Telephone 4043511745
Practice Fax Number 4043517121
Mailing Telephone 8002433839
Mailing Fax Number 9548392569
Enumeration Date 2008-09-22
Last Update Date 2011-09-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367H00000X Anesthesiologist Assistant 005385 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 124886377A 05

Office Location

Street Address 1968 PEACHTREE ROAD NW
City ATLANTA
State GA
Zip Code 30309-1281

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366449498 James F Beatty Specialist 1968 Peachtree Road Nw, B336, Atlanta, GA 30309-1281 2005-07-05
1861041972 Mallory Catall Physician Assistant 1968 Peachtree Road Nw, Atlanta, GA 30309-1796 2019-09-11
1598283137 Morgan Lee Kim Anesthesiologist Assistant 1968 Peachtree Road Nw, Atlanta, GA 30309 2017-09-04
1366755993 Nathan Scott Lycan Physician Assistant 1968 Peachtree Road Nw, Atlanta, GA 30309 2010-07-25
1629300181 Heather Diane Boehm Maginn Physician Assistant 1968 Peachtree Road Nw, Atlanta, GA 30309-1281 2010-02-09
1528390135 Phillip V Oliver Registered Nurse 1968 Peachtree Road Nw, Atlanta, GA 30309-1281 2010-02-06
1366772907 Harrison C Ojimma Registered Nurse 1968 Peachtree Road Nw, Atlanta, GA 30309-1281 2010-01-04
1720217805 Haley C Gordon Registered Nurse 1968 Peachtree Road Nw, Atlanta, GA 30309-1281 2009-07-09
1033348727 Molly A Peek Nurse Anesthetist, Certified Registered 1968 Peachtree Road Nw, Atlanta, GA 30309-1281 2009-07-02
1346475746 Bertha O Onyemaobi Registered Nurse 1968 Peachtree Road Nw, Atlanta, GA 30309-1281 2009-05-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396382354 Astoria Dentistry LLC Dentist 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 2019-12-09
1487133740 S2 Telehealth Technologies, LLC Psychiatry & Neurology 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 2018-08-08
1841782620 Janie Mardis Social Worker 3 Park Ln Ne, Apt H, Atlanta, GA 30309 2018-06-06
1083102842 Veronica L Bentley Specialist/Technologist, Other 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 2018-04-27
1427566363 Net Medical Corp Chiropractor 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 2018-01-12
1871000463 Mary James (jamie) Johnson Counselor 1100 Spring Street, Suite 380, Atlanta, GA 30309 2018-01-04
1306377817 Aliyah Lamis Scott Social Worker 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 2017-03-26
1013450774 Caroline Hallen Nurse Practitioner 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 2016-11-29
1528501723 Ant-aging Queen Nutritionist 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 2016-11-21
1790231439 Nurse 2 Health Home Care LLC Home Health 1075 Peachtree Street Ne, Atlanta, GA 30309 2016-09-01
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Taxonomy Information

Taxonomy Code 367H00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Anesthesiologist Assistant

Taxonomy Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316432537 Heather Mcintyre Anesthesiologist Assistant 57 Executive Park S Ste 300, Atlanta, GA 30329-2287 2018-06-29
1699292235 Robin Spierer Anesthesiologist Assistant 80 Jesse Hill Jr Dr Se # 6d028, Atlanta, GA 30303-3031 2017-08-24
1821512401 Stephen Chaussinand Anesthesiologist Assistant 5673 Peachtree Dunwoody Rd Ste 490, Atlanta, GA 30342-1775 2017-07-26
1790206381 Andres Felipe Hernandez Anesthesiologist Assistant 80 Jesse Hill Jr Dr Se Ste 6d028, Atlanta, GA 30303-3031 2017-07-05
1457737033 Megan Tunstill Anesthesiologist Assistant 791 Wylie St Se Apt 905, Atlanta, GA 30316-7206 2015-08-05
1821472473 Matthew Duncan Anesthesiologist Assistant 4210 Morgan Place Ct Ne, Atlanta, GA 30324-5413 2015-07-14
1336523240 Joseph Howard Anesthesiologist Assistant 2515 Northeast Expy Ne, Apt F9, Atlanta, GA 30345-2501 2015-07-10
1902203508 Anastasia Davidson Anesthesiologist Assistant 5671 Peachtree Dunwoody Rd Ste 530, Atlanta, GA 30342-5005 2014-11-25
1851793210 Laura Goydich Rhein Anesthesiologist Assistant 3193 Howell Mill Rd Nw Ste 100, Atlanta, GA 30327 2014-09-17
1801203641 Jason Daugherty Anesthesiologist Assistant 550 Peachtree Rd. Ne, Atlanta, GA 30308 2014-07-14
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Competitor

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City ATLANTA
Zip Code 30309

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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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