Briana Nicole Gantt I, FNP- BC | |
1685 Old Pendergrass Rd, Jefferson, GA 30549-2705 | |
(706) 387-7637 | |
Not Available |
Full Name | Briana Nicole Gantt I |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1685 Old Pendergrass Rd, Jefferson, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740063221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN259582 (Georgia) | Primary |
Entity Name | Tlc Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750677241 PECOS PAC ID: 5496924490 Enrollment ID: O20110809000175 |
Mailing Address | Practice Location Address |
---|---|
Briana Nicole Gantt I, FNP- BC 51 Sims Kidd Rd, Comer, GA 30629-4136 Ph: (706) 340-3556 | Briana Nicole Gantt I, FNP- BC 1685 Old Pendergrass Rd, Jefferson, GA 30549-2705 Ph: (706) 387-7637 |
Crystal Meadows Tucker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1596 Washington St, Jefferson, GA 30549 Phone: 706-621-0787 | |
Mrs. Virginia Lynn Gifford, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1685 Old Pendergrass Rd, Jefferson, GA 30549 Phone: 706-387-7637 | |
Hope Victoria Bussenius, R.N, M.N, F.N.P-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 657 Athens St, Jefferson, GA 30549 Phone: 706-367-7302 | |
Ashley S Underwood, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1496 Winder Hwy Ste 105, Jefferson, GA 30549 Phone: 770-848-9456 | |
Mrs. Lauren Olivia Rider, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1057 Winder Hwy, Jefferson, GA 30549 Phone: 706-708-2277 | |
Erica Jane Smith, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1057 Winder Hwy, Jefferson, GA 30549 Phone: 706-708-2277 | |
Heather Nicole Pickelsimer, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 528 Panther Dr, Jefferson, GA 30549 Phone: 706-387-5655 Fax: 706-387-5554 |