JENNIFER FAVERTY (NPI# 1497120083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497120083 |
| Entity Type | Individual |
| Full Name | JENNIFER FAVERTY |
| Credential | NP |
| Practice Address |
4799 Sugarloaf Pkwy Bldg G-110 Lawrenceville GA 30044-8836 |
| Mailing Address |
3390 Peachtree Rd Ne Suite 1500 Atlanta GA 30326-1157 |
| Practice Telephone | 7709299033 |
| Practice Fax Number | 7709299092 |
| Mailing Telephone | 4049204950 |
| Mailing Fax Number | 4049204959 |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN250163 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4799 SUGARLOAF PKWY BLDG G-110 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30044-8836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003843293 | Patricia Pena | Chiropractor | 4799 Sugarloaf Pkwy, Ste L, Lawrenceville, GA 30044-8836 | 2006-06-26 |
| 1790144673 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 4799 Sugarloaf Pkwy, Suite 1500, Lawrenceville, GA 30044-8836 | 2016-02-19 |
| 1710204557 | Cristina Jones | Speech-Language Pathologist | 4799 Sugarloaf Pkwy, Suite K, Lawrenceville, GA 30044 | 2010-05-03 |
| 1982729380 | Specific Chiropractic, Inc. | Chiropractor | 4799 Sugarloaf Pkwy, Ste L, Lawrenceville, GA 30044-8836 | 2007-03-21 |
| 1437274826 | Brent Bulkin | Chiropractor | 4799 Sugarloaf Pkwy, Ste L, Lawrenceville, GA 30044-8836 | 2007-03-21 |
| 1487779872 | Drew Bulkin | Chiropractor | 4799 Sugarloaf Pkwy, Ste L, Lawrenceville, GA 30044-8836 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811892 | Berry and Mitchell Hands of Caring | Nurse's Aide | 1180 Market Square Lane, Lawrenceville, GA 30044 | 2020-01-28 |
| 1457995045 | Reagan Urgent Care | Clinic/Center | 2878 Five Forks Trickum Rd Ste 2a, Lawrenceville, GA 30044 | 2019-11-06 |
| 1194373621 | Kaseem Beck | Dentist | Gwinnett Family Dental Care, 3455 Lawrenceville Hwy, Lawrenceville, GA 30044 | 2019-08-28 |
| 1053965525 | Imani Anderson | Speech-Language Pathologist | 2775 Cruse Rd Suite 2002, Lawrenceville, GA 30044 | 2019-08-01 |
| 1598329625 | Zam Zam Family Clinic LLC | Clinic/Center | 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 | 2019-04-24 |
| 1659858991 | Apex Eyecare | Optometrist | 3694 Club Drive Unit 101, Lawrenceville, GA 30044 | 2018-07-19 |
| 1538657549 | Georgia Comprehensive Family Clinic & Natural Health | Naturopath | 1065 Pleasant Hill Rd, Lawrenceville, GA 30044 | 2018-04-25 |
| 1316434095 | Children's Dentistry of Lithonia, LLC | Dentist | 4850 Sugarloaf Parkway, Ste 611, Lawrenceville, GA 30044 | 2018-04-18 |
| 1831619337 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 | 2017-06-26 |
| 1326582859 | Ana Coronado | Social Worker | 965 Oakland Road Nw, Suite 3b, Lawrenceville, GA 30044 | 2016-12-19 |
| Find all providers in zip 30044 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962017343 | Sarah Mcmillan | Nurse Practitioner | 971 Sonoma Dr, Lawrenceville, GA 30045-7842 | 2020-09-11 |
| 1801406590 | Allyson Fiscus | Nurse Practitioner | 11020 Il-250, Lawrenceville, IL 62439 | 2020-08-06 |
| 1811532963 | Lubna Rizvan Momin | Nurse Practitioner | 542 Sydney Michelle Ln, Lawrenceville, GA 30046-3352 | 2019-11-13 |
| 1255800785 | Vonda Lynn Farrar | Nurse Practitioner | 1918 De Winton Pl, Lawrenceville, GA 30043-5021 | 2018-11-14 |
| 1598234122 | Melisha K John-baptiste | Nurse Practitioner | 4850 Sugarloaf Pkwy Ste 209-190, Lawrenceville, GA 30044-2859 | 2018-11-13 |
| 1932685385 | Carolyn Stewart | Nurse Practitioner | 3266 Bridge Walk Dr, Lawrenceville, GA 30044-5128 | 2018-07-18 |
| 1891236451 | Donnette Todd | Nurse Practitioner | 749 Flowers Xing, Lawrenceville, GA 30044-5954 | 2017-03-15 |
| 1952765869 | Johana M Ortiz | Nurse Practitioner | 1033 Gather Dr, Lawrenceville, GA 30043-7553 | 2016-04-06 |
| 1164885778 | Ablavi Agomessou | Nurse Practitioner | 881 Ivydale Ln, Lawrenceville, GA 30045-7818 | 2016-03-31 |
| 1205291028 | Lorraine Laplace | Nurse Practitioner | 2522 Cruse Rd Ste C2, Lawrenceville, GA 30044 | 2015-12-21 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30044 |
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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.