JENNIFER JOHNSON SLADE CPNP-PC NPI 1013147503

Nurse Practitioner (Pediatrics) in Macon, GA

NPI 1013147503 Individual Female Nurse Practitioner Pediatrics

About JENNIFER SLADE

Jennifer Slade is a provider established in Macon, Georgia and her medical specialization is nurse practitioner (pediatrics) . The NPI number of Jennifer Slade is 1013147503 and was assigned on July 2009. The practitioner's primary taxonomy code is 363LP0200X with license number RN117428 NP (GA). The provider is registered as an individual and her NPI record was last updated 12 years ago.

A nurse practitioner (NP) like Jennifer Johnson Slade Cpnp-pc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Jennifer Slade is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1013147503

Provider Name JENNIFER JOHNSON SLADE CPNP-PC
Provider Location Address3888 NORTHSIDE DR MACON, GA 31210
Provider Mailing Address3888 NORTHSIDE DR MACON, GA 31210
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-20-2009
Last Update Date07-20-2009


Primary Taxonomy

Taxonomy Code363LP0200X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationPediatrics
License No.RN117428 NP
License StateGA

Business Address

JENNIFER JOHNSON SLADE CPNP-PC
3888 NORTHSIDE DR
MACON, GA
ZIP 31210
Phone: (478) 477-4044
Fax: (478) 477-7076

Get Directions


Mailing Address

JENNIFER JOHNSON SLADE CPNP-PC
3888 NORTHSIDE DR
MACON, GA
ZIP 31210
Phone: (478) 477-4044
Fax: (478) 477-7076



Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104895614DR. EMMETT REAVES BERRY M.D.
Individual
Pediatrics3888 NORTHSIDE DR
MACON, GA 31210
(478) 477-4044
1891780094DR. LAURIE H GILLESPIE MD
Individual
Pediatrics3888 NORTHSIDE DR
MACON, GA 31210
(478) 477-4044
1598232944NORTHSIDE PEDIATRICS PC
Organization
Pediatrics (Adolescent Medicine)3888 NORTHSIDE DR
MACON, GA 31210
(478) 477-4044

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.