Jina Kiele Anderson, | |
351 S Liberty St, Waynesboro, GA 30830-9686 | |
(229) 236-0831 | |
Not Available |
Full Name | Jina Kiele Anderson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 351 S Liberty St, Waynesboro, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609525492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN244119 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southland Emergency Medical Services Consolidated, Llc | 4183871320 | 38 |
Hospital Authority Of Washington County | 4385552686 | 6 |
Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 663 |
Entity Name | Washington County Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396770004 PECOS PAC ID: 4385552686 Enrollment ID: O20040507000100 |
Entity Name | Hospital Physician Services - Southeast Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545 |
Entity Name | Southland Emergency Medical Services Consolidated, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033464391 PECOS PAC ID: 4183871320 Enrollment ID: O20120823000503 |
Entity Name | Southland Consolidated Emergency Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174917124 PECOS PAC ID: 2860792066 Enrollment ID: O20151119001289 |
Entity Name | Wc Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174024665 PECOS PAC ID: 0244560407 Enrollment ID: O20191001002775 |
Entity Name | Southland Behavioral Health Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619505765 PECOS PAC ID: 8224469085 Enrollment ID: O20200511002208 |
Entity Name | Physicians United Urgent Care, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497313258 PECOS PAC ID: 9335553163 Enrollment ID: O20210205001439 |
Entity Name | Southland Burke Emergency Medical Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235885815 PECOS PAC ID: 9537547401 Enrollment ID: O20220606000360 |
Entity Name | Peach State Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053170605 PECOS PAC ID: 7719328038 Enrollment ID: O20240516002831 |
Mailing Address | Practice Location Address |
---|---|
Jina Kiele Anderson, 100 S Madison St, Thomasville, GA 31792-5473 Ph: () - | Jina Kiele Anderson, 351 S Liberty St, Waynesboro, GA 30830-9686 Ph: (229) 236-0831 |
Shametrial Glascock Foreman, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 509 W 4th St, Waynesboro, GA 30830 Phone: 706-825-3373 | |
Mrs. Ashley J Boynton, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2281 Porter Carswell Rd, Waynesboro, GA 30830 Phone: 706-421-6949 | |
Mrs. Shanika Linette Richardson Conyers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 351 S Liberty St, Waynesboro, GA 30830 Phone: 706-554-2176 | |
Mrs. Shelley H Mallard, APRN, BC, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 Jones Ave, Waynesboro, GA 30830 Phone: 706-554-5147 Fax: 706-554-6111 | |
Ashlee Elizabeth Harrell, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 351 S Liberty St, Waynesboro, GA 30830 Phone: 706-554-4435 |