KIMBERLY JENNINGS (NPI# 1609227628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609227628 |
| Entity Type | Individual |
| Full Name | KIMBERLY JENNINGS |
| Credential | NURSE PRACTITIONER |
| Practice Address |
447 N Belair Rd Ste 101 Evans GA 30809-3091 |
| Mailing Address |
Po Box 1705 Augusta GA 30903-1705 |
| Practice Telephone | 7068542222 |
| Mailing Telephone | 7067747263 |
| Mailing Fax Number | 7067747230 |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2020-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN214360 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 447 N Belair Rd Ste 101, Evans, GA 308093091 | 7068542222 | 7068542226 |
| 925 Branch Ct Ste 101, Grovetown, GA 308133325 | 7063961199 | 7063961452 |
| 1100 W Lake Commons Dr, Martinez, GA 309077932 | 7062506919 | 7062507232 |
| 4720 Washington Rd, Evans, GA 308095875 | 7066500111 | 7066511882 |
| 3486 Peach Orchard Rd Ste 200, Augusta, GA 309065215 | 7068288049 | 7068288048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1699066555 | Kimberly Kathryn Jennings | Occupational Therapist | 23 Capardo Dr, Whitesboro, NY 13492-2937 | 2011-04-27 |
| 1134360266 | Kimberly Jennings | Speech-Language Pathologist | 887 Kellum St, Lindenhurst, NY 11757-1508 | 2009-03-19 |
| Street Address |
447 N BELAIR RD STE 101 |
| City | EVANS |
| State | GA |
| Zip Code | 30809-3091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770570236 | Bennie Brown Jr. | Family Medicine | 447 N Belair Rd Ste 101, Evans, GA 30809-3091 | 2005-09-30 |
| 1740724996 | Elizabeth O'hara Richardson | Physician Assistant | 447 N Belair Rd Ste 101, Evans, GA 30809-3091 | 2016-12-07 |
| 1003298274 | Ashley Nix | Nurse Practitioner | 447 N Belair Rd Ste 101, Evans, GA 30809-3091 | 2015-06-24 |
| 1811304744 | Chasity Christina Tierney | Nurse Practitioner | 447 N Belair Rd Ste 101, Evans, GA 30809-3091 | 2014-07-11 |
| 1588790794 | Ermina Mujadzic | Dermatology | 447 N Belair Rd Ste 101, Evans, GA 30809 | 2007-02-24 |
| 1043325467 | Bozeman K Sherwood | Emergency Medicine | 447 N Belair Rd Ste 101, Evans, GA 30809 | 2006-08-19 |
| 1306889068 | Julie Palbykin Hicks | Emergency Medicine | 447 N Belair Rd Ste 101, Evans, GA 30809-3091 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674060 | Dominion Behavioral Health Services LLC | Psychiatric Unit | 817 Prairie Lane, Evans, GEORGIA 30809 | 2020-03-13 |
| 1710478102 | Georgia Dental Professionals, PC | Dentist | 5131 Washington Rd, Evans, GA 30809 | 2018-05-22 |
| 1649770678 | Angel Legare | Physician Assistant | 404 Town Park Blvd Ste 101, Evans, GA 30809 | 2018-02-16 |
| 1952829541 | Felicia Evette Rhodes | Home Health Aide | 715 Jones Creek, Evans, GA 30809 | 2017-09-02 |
| 1659733582 | Patricia J. Stewart Lpc, LLC | Counselor | 465 N. Belair Rd. Ste 2d, Evans, GA 30809 | 2016-03-21 |
| 1114306727 | John Mccaskey | Family Medicine | 465 N Belair Rd Ste 1b, Evans, GA 30809 | 2015-05-28 |
| 1053702878 | Jennifer Wahl | Assistant Behavior Analyst | 1135 Waltons Pass, Evans, GA 30809 | 2015-02-16 |
| 1609298777 | Custom Pharmacy, Inc | Pharmacy | 1202 Town Park Lane, Suite 200, Evans, GA 30809 | 2014-01-09 |
| 1457797938 | Perfect Health Always On Call, LLC | Non-Pharmacy Dispensing Site | 4244 Washington Rd, Evans, GA 30809 | 2013-05-11 |
| 1417207119 | Tommy Battle | Respiratory Therapist, Registered | 101 Pond View, Evans, GA 30809 | 2012-09-11 |
| Find all providers in zip 30809 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346873163 | Kyla Megan Kitchens | Nurse Practitioner | 4150 Washington Rd Ste 11, Evans, GA 30809-4722 | 2020-02-20 |
| 1033778568 | Caitlin J Vu | Nurse Practitioner | 753 Winding Creek Ct, Evans, GA 30809-4874 | 2019-06-09 |
| 1508398439 | Ashlee Blakeslee | Nurse Practitioner | 4350 Towne Centre Dr Ste 1100, Evans, GA 30809-3329 | 2017-03-30 |
| 1982069258 | Beverly Brinson | Nurse Practitioner | 4423 Sapelo Dr, Evans, GA 30809-8222 | 2015-12-30 |
| 1952799918 | Bradford Kesler Cheek | Nurse Practitioner | 1132 Midford Ct, Evans, GA 30809-5244 | 2014-12-29 |
| 1184047565 | Mary Beatty Wise | Nurse Practitioner | 496 Fairfield Ct, Evans, GA 30809-3641 | 2014-01-21 |
| 1912251190 | Christopher Thomas Schiffbauer | Nurse Practitioner | 208 Darling Way, Evans, GA 30809-8405 | 2012-11-09 |
| 1609132463 | Heather Jennings | Nurse Practitioner | 1235 Berkley Hills Pass, Evans, GA 30809-7472 | 2012-04-05 |
| 1922184027 | Melissa Lampp Sumner | Nurse Practitioner | 400 Town Park Blvd, Suite 300, Evans, GA 30809-3471 | 2006-10-31 |
| 1639780760 | Cassandra Bigley | Nurse Practitioner | 2930 11th Ave, Evans, CO 80620-1011 | 2020-08-12 |
| Find all providers in EVANS | ||||
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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.