Jennifer Nicole Romine, CNM, WHNP is a medicare enrolled "Advanced Practice Midwife" in Chatsworth, Georgia. Her current practice location is
106 Hospital Dr Ste 6, Chatsworth, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 517-6206.
Jennifer Nicole Romine is licensed to practice in Georgia (license number RN284826) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679119366.
Provider's Profile
| Full Name | Jennifer Nicole Romine |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 106 Hospital Dr Ste 6, Chatsworth, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679119366
- Provider Enumeration Date: 11/18/2019
- Last Update Date: 09/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 2264860956
- Enrollment ID: I20200311001208
Medical Identifiers
Medical identifiers for Jennifer Nicole Romine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679119366 | NPI | - | NPPES |
| RN284826 | Other | GA | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LW0102X | Nurse Practitioner - Women's Health | RN284826 (Georgia) | Secondary |
| 367A00000X | Advanced Practice Midwife | RN284826 (Georgia) | Primary |
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. Jennifer Nicole Romine allows following entities to bill medicare on her behalf.
| Entity Name | Magnolia Womens Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114682648
PECOS PAC ID: 9830580687
Enrollment ID: O20220105000899 |
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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. Jennifer Nicole Romine 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 |
|---|
Jennifer Nicole Romine, CNM, WHNP
Po Box 12938, C/o Clinic Management,
Calhoun, GA 30703
Ph: (706) 602-7800 | Jennifer Nicole Romine, CNM, WHNP
106 Hospital Dr Ste 6,
Chatsworth, GA 30705-2070
Ph: (706) 517-6206 |
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