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JENNIFER SIMPSON ETHERIDGE
NPI 1144784372
Nurse Practitioner - Adult Health in Watkinsville, GA

Active since January 22, 2019PECOS Enrolled
1360 CADUCEUS WAY STE 105, WATKINSVILLE, GA 30677(706) 850-3795(877) 580-1676 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2021, Jan 22, 2019 (2 updates tracked since 2019).

About Jennifer Simpson Etheridge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER SIMPSON ETHERIDGE (NPI 1144784372) is an individual adult health provider in Watkinsville, Georgia, licensed in Georgia (RN222355) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Athens.

NPPES Registry Identity

NPI1144784372
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJENNIFER SIMPSON ETHERIDGE
Location Address1360 CADUCEUS WAY STE 105Watkinsville, GA 30677-7300
Mailing Address1360 Caduceus Way Ste 105Watkinsville, GA 30677-7300 · (706) 850-3795 · Fax (877) 580-1676
Phone(706) 850-3795
Fax(877) 580-1676
Sole ProprietorNo
Enumeration DateJanuary 22, 2019
Last NPPES UpdateMarch 11, 20212 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
✔ NPI 1144784372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in GA · RN222355
Also ListedRegistered NurseTaxonomy 163W00000X · License RN222355 (GA)
1360 CADUCEUS WAY STE 105, Watkinsville, GA 30677
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Secondary Practice Location 1

Location 11199 Prince AveAthens, GA 30606-2797 · Phone (706) 475-7000 ext. 3437 · Fax (706) 475-7671

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Simpson Etheridge is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30677 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES R HINES
Physical Therapist
1360 CADUCEUS WAY STE 105
WATKINSVILLE, GA 30677
Oconee County (706) 548-7300
DANIEL PATRICK MCGOWAN DPT
Physical Therapist
1360 CADUCEUS WAY STE 105
WATKINSVILLE, GA 30677
Oconee County (706) 548-7300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Etheridge's NPI number?

The NPI number for Jennifer Etheridge is 1144784372. It was assigned to this individual provider in the NPPES registry on January 22, 2019.

Where is Jennifer Etheridge located?

Jennifer Etheridge practices at 1360 Caduceus Way Ste 105, Watkinsville, GA 30677. The listed phone number is (706) 850-3795.

What is Jennifer Etheridge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jennifer Etheridge enrolled in Medicare?

Yes. Jennifer Etheridge is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Etheridge was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.