DR. JENNIFER N VERNON (NPI# 1376649871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376649871 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER N VERNON |
| Credential | M.D. |
| Practice Address |
1810 Mulkey Rd Suite 201 Austell GA 30106-1151 |
| Practice Telephone | 4043166269 |
| Mailing Telephone | 4043166269 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 058830 | GA | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 18618 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 06936300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770051971 | Jennifer Vernon | Counselor | 111 Robinson Street, Pottstown, PA 19464 | 2018-11-06 |
| 1053412817 | Jennifer Clinton Vernon | Occupational Therapy Assistant | 59 Weaver Village Way, Weaverville, NC 28787-9492 | 2006-09-26 |
| 1346665056 | Jennifer Kay Vernon | Registered Nurse | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2014-03-04 |
| 1740546183 | Jennifer Lynn Vernon | Counselor | 1202 Walton Blvd, Rochester Hills, MI 48307-6917 | 2012-04-10 |
| 1932312949 | Jennifer Suzanne Vernon | Counselor | 263 N 3rd St, Suite 125, Porterville, CA 93257-3824 | 2007-05-07 |
| 1407973092 | Jennifer Vernon | Counselor | 400 E 6th St, Parkville, MO 64152-3703 | 2007-03-26 |
| Street Address |
1810 MULKEY RD SUITE 201 |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106-1151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114928207 | Cascade Radiology Consultants, PC | Radiology | 1810 Mulkey Rd, Ste 103, Austell, GA 30106-1151 | 2005-08-10 |
| 1801434691 | Dartiss M Chevalier | Nurse Practitioner | 1810 Mulkey Rd, Austell, GA 30106-1151 | 2019-12-12 |
| 1831692110 | Anastacia P Modo | Nurse Practitioner | 1810 Mulkey Rd, Austell, GA 30106-1151 | 2018-03-13 |
| 1942740758 | Amanda Manuel | Nurse Practitioner | 1810 Mulkey Rd, Austell, GA 30106-1151 | 2017-02-27 |
| 1669927455 | Kwneshia Lawane Dorsey | Nurse Practitioner | 1810 Mulkey Rd, Austell, GA 30106-1151 | 2016-08-22 |
| 1013309327 | Amber Borders | Nurse Practitioner | 1810 Mulkey Rd, Suite 201, Austell, GA 30106-1151 | 2015-02-23 |
| 1083010201 | Nissi Family Medicine LLC | Family Medicine | 1810 Mulkey Rd, Suite 105, Austell, GA 30106-1151 | 2014-11-16 |
| 1336569524 | Delano St.aubyn Maxam Jr. | Physical Therapist | 1810 Mulkey Rd, Suite 101, Austell, GA 30106-1151 | 2014-04-26 |
| 1871910174 | Allison Leigh Cargal | Nurse Practitioner | 1810 Mulkey Rd, Suite 201, Austell, GA 30106-1151 | 2014-03-25 |
| 1225321235 | Wellstar Medical Group, LLC | Surgery | 1810 Mulkey Rd, Suite 105, Austell, GA 30106-1151 | 2011-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
| 1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
| 1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
| 1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
| Find all providers in zip 30106 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083762025 | Kimberly N Hodge Spears | Pediatrics | 3640 Tramore Pointe Parkway Sw, Department of Pediatrics, Austell, GA 30106 | 2007-01-08 |
| 1205826500 | Shelly-ann Michela Salandy | Pediatrics | 1680 Mulkey Rd, Suite E, Austell, GA 30106-1118 | 2005-10-27 |
| 1760831069 | Neena Alex | Pediatrics | 3950 Austell Rd, Austell, GA 30106-1121 | 2016-06-07 |
| 1003176082 | Joli Ann Mccarthy | Pediatrics | 3950 Austell Rd, Austell, GA 30106-1121 | 2012-05-23 |
| 1184908188 | Children's Medical Associates, LLC | Pediatrics | 1680 Mulkey Rd, Suite E, Austell, GA 30106-1118 | 2011-10-10 |
| 1073819124 | Wellstar Medical Group, LLC | Pediatrics | 1810 Mulkey Rd, Suite 201, Austell, GA 30106-1151 | 2011-02-08 |
| 1942527684 | Saira I Alimohamed | Pediatrics | 3950 Austell Rd # 22, Austell, GA 30106 | 2010-04-20 |
| 1508987793 | Ronnika C Harley | Pediatrics | 1810 Mulkey Rd, Suite 201, Austell, GA 30106-1151 | 2007-04-03 |
| 1083756894 | Kelly Solms Garrison | Pediatrics | 3950 Austell Rd # 22, Austell, GA 30106 | 2007-02-12 |
| 1962443515 | Bonita L Brockman | Pediatrics | 2041 Mesa Valley Way, Ste 185, Austell, GA 30106 | 2006-06-08 |
| Find all providers in AUSTELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.