Dr Janine Nicole Pettiford, MD in Fayetteville, GA

Dr Janine Nicole Pettiford, MD is a medicare enrolled "Surgery" physician in Fayetteville, Georgia. She went to Saint Louis University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Northside Surgical Professional Services Llc and her current practice location is 325 North Jeff Davis Dr, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 461-1337.

Dr Janine Nicole Pettiford is licensed to practice in Georgia (license number 072414) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043541725.

Contact Information

	Dr Janine Nicole Pettiford, MD
	325 North Jeff Davis Dr, Fayetteville, GA 30214
	(770) 461-1337
	(770) 461-0922

Map and Direction

Physician's Profile

Full Name	Dr Janine Nicole Pettiford
Gender	Female
Speciality	General Surgery
Experience	19 Years
Location	325 North Jeff Davis Dr, Fayetteville, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Janine Nicole Pettiford attended and graduated from Saint Louis University School Of Medicine in 2005

NPI Data:

NPI Number: 1043541725
Provider Enumeration Date: 01/20/2010
Last Update Date: 11/08/2016

Medicare PECOS Information:

PECOS PAC ID: 7517289374
Enrollment ID: I20141204002430

Medical Identifiers

Medical identifiers for Dr Janine Nicole Pettiford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043541725	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	BP10023659 (Texas)	Secondary
208600000X	Surgery	2010013505 (Missouri)	Secondary
208600000X	Surgery	072414 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northside Hospital	Atlanta, GA	Hospital
Piedmont Fayette Hospital	Fayetteville, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northside Surgical Professional Services Llc	8628253424	272

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Janine Nicole Pettiford allows following entities to bill medicare on her behalf.

Entity Name	Northside Surgical Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356630990 PECOS PAC ID: 8628253424 Enrollment ID: O20110420000598

Entity Name	Southern Regional Physicians Management Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043677271 PECOS PAC ID: 9032491956 Enrollment ID: O20170127002483

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Janine Nicole Pettiford is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Janine Nicole Pettiford, MD 33 Upper Riverdale Road Sw, Suite 112, Fayetteville, GA 30214-1627 Ph: (770) 996-3190	Dr Janine Nicole Pettiford, MD 325 North Jeff Davis Dr, Fayetteville, GA 30214 Ph: (770) 461-1337

Reviews and Comments

Surgery Doctors in Fayetteville, GA

Walker Shearon, MD Surgery Medicare: Medicare Enrolled Practice Location: 1265 Highway 54 W Ste 500b, Fayetteville, GA 30214 Phone: 404-265-4411
Dr. James Mattingly Stevens, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1265 Highway 54 W, Suite 500b, Fayetteville, GA 30214 Phone: 770-719-5660 Fax: 678-817-4339
Meghan Morgan, CST Surgery Medicare: Not Enrolled in Medicare Practice Location: 101 Yorktown Dr., Suite 110, Fayetteville, GA 30214 Phone: 770-461-2101
Russell Andrew Wilson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1265 Highway 54 W Ste 500b, Fayetteville, GA 30214 Phone: 770-719-5660 Fax: 678-336-5955
Lloyd Thomas Winger Iv, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1265 Highway 54 W, Suite 500b, Fayetteville, GA 30214 Phone: 770-719-5660 Fax: 678-817-4339
Dr. Nicole L Sroka, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1279 Highway 54 W, Suite 210, Fayetteville, GA 30214 Phone: 770-719-5710 Fax: 678-817-4360

Dr Janine Nicole Pettiford, MD - Medicare General Surgery in Fayetteville, GA