JENNA COMBS


Address: 705 Dixie St, Carrollton, GA 30117-3818
Phone: 7708388824

JENNA COMBS (NPI# 1447797584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447797584
Entity Type Individual
Full Name JENNA COMBS
Credential NP
Practice Address 705 Dixie St
Carrollton
GA 30117-3818
Mailing Address 119 Ambulance Dr
Suite 202
Carrollton
GA 30117-3857
Practice Telephone 7708388824
Practice Fax Number 7708388563
Mailing Telephone 7708388824
Mailing Fax Number 7708388563
Enumeration Date 2017-01-27
Last Update Date 2017-01-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
RN220551 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 705 DIXIE ST
City CARROLLTON
State GA
Zip Code 30117-3818

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407848799 Lawrence Brett Carter Pharmacist 705 Dixie St, Carrollton, GA 30117-3818 2005-08-22
1760007322 Crystal Renee Grayson Nurse Anesthetist, Certified Registered 705 Dixie St, Carrollton, GA 30117-3818 2020-06-10
1962025361 Amanda Hasty Mcentyre Dietitian, Registered 705 Dixie St, Carrollton, GA 30117-3818 2020-05-20
1265055669 Purdy Jackson Dietitian, Registered 705 Dixie St, Carrollton, GA 30117-3818 2020-05-20
1528681921 Amanda Phillips Kranz Dietitian, Registered 705 Dixie St, Carrollton, GA 30117-3818 2020-05-20
1699396630 Katherine Victoria White Nurse Practitioner 705 Dixie St, Carrollton, GA 30117-3818 2020-04-30
1144866047 Jennifer Tiffany Jiles Nurse Practitioner 705 Dixie St, Carrollton, GA 30117-3818 2019-11-26
1750934733 Tiffany Landry Health Educator 705 Dixie St, Carrollton, GA 30117-3818 2019-07-19
1104479195 Kim Rowell Health Educator 705 Dixie St, Carrollton, GA 30117-3818 2019-07-19
1104478916 Brandon Gabe Graves Nurse Anesthetist, Certified Registered 705 Dixie St, Carrollton, GA 30117-3818 2019-07-11
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NPI Name Taxonomy Address Enumeration
1679199392 Southern Rad Onc LLC Radiology 809 South Park Street, Carrollton, GA 30117 2020-06-18
1093361404 Eyedeal Eyecare LLC Optometrist 1735 S Us 27, Carrollton, GA 30117 2019-08-12
1710412473 Janis James Optometrist 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 2017-05-01
1568881951 Omar Hajmurad Anesthesiology 812 S Park St Ste 5, Carrollton, GA 30117 2014-04-14
1134550353 Goodbodys Minor Med Express Care Nurse Practitioner 1670 South Park St., Carrollton, GA 30117 2013-12-13
1306187570 Myriam C Vela-ortiz Internal Medicine 157 Clinic Ave Ste 203, Carrollton, GA 30117 2013-03-12
1891030201 Air Evac Ems, Inc. Ambulance 827 Old Bremen Rd, Carrollton, GA 30117 2012-12-11
1952682486 Angelic Wings Transport, Inc. Non-emergency Medical Transport (VAN) 362 B Columbia Drive, Carrollton, GA 30117 2011-08-29
1073819256 Atlanta Prosthetics & Orthotics, Inc. Durable Medical Equipment & Medical Supplies 812 South Park Street, Suite 2, Carrollton, GA 30117 2011-02-04
1255640348 Amy Gilbert Counselor 515 Tanner St, Carrollton, GA 30117 2010-10-06
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1396350997 Ellen Allen Nurse Practitioner 8040 Highway 54, Sharpsburg, GA 30277-2112 2020-09-10
1588277867 Saleta Anica Brogdon Nurse Practitioner 10 Muirfield Dr, Covington, GA 30016-6536 2020-08-26
1043828106 Shonkeisha Byrd Nurse Practitioner 1160 Great River Pkwy, Lawrenceville, GA 30045-7015 2020-07-15
1558982272 Irene Kamau Nurse Practitioner 3605 Glenbarrett Ln Ne, Marietta, GA 30066-8509 2020-05-05
1891324133 Branette Young Nurse Practitioner 1120 Lehavre Ct, Hampton, GA 30228-3022 2020-04-08
1851938559 Sandra Holloway Nurse Practitioner 607 Bethany St, Sparks, GA 31647-7139 2019-12-02
1013550508 Monica Smart Mills Nurse Practitioner 8315 Champion Trl, Fairburn, GA 30213-4739 2019-10-28
1063053478 Emily Elizabeth Adams Nurse Practitioner 887 W Marietta St Nw, Atlanta, GA 30318-5252 2019-10-07
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Competitor

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City CARROLLTON
Zip Code 30117

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Dataset Information

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.

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