PHILLIP JENNINGS III (NPI# 1740658749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740658749 |
| Entity Type | Individual |
| Full Name | PHILLIP JENNINGS III |
| Practice Address |
175 Gwinnett Dr Lawrenceville GA 30046-8444 |
| Mailing Address |
208 Berkeley Woods Dr Duluth GA 30096-6346 |
| Practice Telephone | 6782092394 |
| Practice Fax Number | 6782126343 |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN101949 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205308517 | Phillip Thomas Jennings | Physical Therapy Assistant | 400 Clocktower Ridge Dr, Winchester, VA 22603-3878 | 2018-12-27 |
| Street Address |
175 GWINNETT DR |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-8444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609853860 | View Point Health | Day Training, Developmentally Disabled Services | 175 Gwinnett Dr, Post Office Box 687, Lawrenceville, GA 30046-8444 | 2005-12-29 |
| 1235739400 | Jennifer Kabiu | Registered Nurse | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-10-27 |
| 1164021135 | Irene Bautista Lopez | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-10-21 |
| 1720686132 | Kimberly Gamble | Registered Nurse | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-10-16 |
| 1205443868 | Pablo David Faundez | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-28 |
| 1295341717 | Sydney Calloway | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-21 |
| 1275149932 | Kenysha Doyen Thompson | Social Worker | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-18 |
| 1457967218 | Taylor Mays | Social Worker | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-17 |
| 1366058299 | Emma Paduraru | Nutritionist | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-16 |
| 1922613330 | Shamikia Mcghee | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316557929 | Victoria Ifunanya Williams-ugula | Registered Nurse | 1414 Jernigan Blf, Lawrenceville, GA 30045-7061 | 2020-08-07 |
| 1992350847 | Robbin S Lawson | Registered Nurse | 1976 Alcovy Trace Way, Lawrenceville, GA 30045-7937 | 2019-08-07 |
| 1013575349 | Abidemi Macgregor | Registered Nurse | 762 Lynnfield Dr, Lawrenceville, GA 30045-5251 | 2019-06-01 |
| 1124589767 | Donna Latrae Scott | Registered Nurse | 2642 Pierce Brennen Ct, Lawrenceville, GA 30043-1319 | 2019-03-27 |
| 1144788050 | Jody Allen Zakas | Registered Nurse | 150 Deer Cliff Cv, Lawrenceville, GA 30043-3017 | 2019-03-10 |
| 1356882534 | Jasmine Munroe | Registered Nurse | 1801 American Walk, Lawrenceville, GA 30043-4189 | 2017-03-20 |
| 1770028409 | Sevara Jean Bailey | Registered Nurse | 1901 Shadwell Way # 5g, Lawrenceville, GA 30043-4908 | 2017-01-04 |
| 1104368273 | Vernica Anderson | Registered Nurse | 10523 Maple Leaf Dr, Lawrenceville, NJ 08648-1231 | 2016-11-07 |
| 1619334562 | Kimberley Renee Cole | Registered Nurse | 575 Professional Dr., Suite 150, Lawrenceville, GA 30046 | 2016-01-23 |
| 1366816639 | Hazel Santos | Registered Nurse | 2208 Wildcat Cliffs Ln, Lawrenceville, GA 30043-2964 | 2015-11-24 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
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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.