Gaynor Powell Couch, NP | |
2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | |
(678) 905-0410 | |
Not Available |
Full Name | Gaynor Powell Couch |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 2400 Mount Zion Pkwy, Jonesboro, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285103499 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | RN239905 (Georgia) | Primary |
Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
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Gaynor Powell Couch, NP Po Box 83232, Conyers, GA 30013-8017 Ph: (678) 905-0410 | Gaynor Powell Couch, NP 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 Ph: (678) 905-0410 |
Mrs. April D Joseph, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 236 Arrowhead Blvd, Jonesboro, GA 30236 Phone: 770-478-9240 | |
Mrs. Mercy B Manga, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 770-603-3649 Fax: 770-962-2400 | |
Ms. Cristyle Lynn Morrison, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8773 Channing Dr, Jonesboro, GA 30238 Phone: 678-262-7190 | |
Mrs. Khayriyyah Salaam, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Wellspring Medical/mount Zion Urgent Care, 2759 Mount Zion Parkway, Jonesboro, GA 30236 Phone: 678-289-8338 Fax: 770-603-0515 | |
Myrna Gacusan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6911 Tara Blvd, Jonesboro, GA 30236 Phone: 770-477-8573 Fax: 770-477-8573 | |
Lashaunda Denise Clerizier, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1096 Brandon Hill Way, Jonesboro, GA 30238 Phone: 305-417-2885 | |
Reeves Henderson, A-GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 Mount Zion Rd, Jonesboro, GA 30236 Phone: 404-602-0387 |