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MICHELAE JENNINGS
NPI 1912580069
Nurse Practitioner in Villa Rica, GA

Active since May 05, 2021
403 PERMIAN WAY, VILLA RICA, GA 30180(323) 947-8494 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 28, 2026, May 5, 2021 (2 updates tracked since 2021).

About Michelae Jennings NPPES

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

MICHELAE JENNINGS (NPI 1912580069) is an individual nurse practitioner in Villa Rica, Georgia, licensed in Georgia (258064) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1912580069
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMICHELAE JENNINGS
Location Address403 PERMIAN WAYVilla Rica, GA 30180-3226
Mailing Address2104 Royal Fox WayDecatur, GA 30032-6145 · (323) 947-8494
Phone(323) 947-8494
Sole ProprietorYes
Enumeration DateMay 5, 2021
Last NPPES UpdateMay 28, 20262 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1912580069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · 258064
Definition
(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.
403 PERMIAN WAY, Villa Rica, GA 30180
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

VERANET HEALTHCARE, LLC
Family Medicine
403 PERMIAN WAY, SUITE A
VILLA RICA, GA 30180
Carroll County (770) 771-5235
NERLIE HYPPOLITE NP
Nurse Practitioner (Primary Care)
403 PERMIAN WAY
VILLA RICA, GA 30180
Carroll County (770) 771-5235
DR. MERNA MICHELLE VERA MD
Family Medicine
403 PERMIAN WAY, SUITE A
VILLA RICA, GA 30180
Carroll County (770) 771-5235
AMADA HILL
Nurse Practitioner (Family)
403 PERMIAN WAY, SUITE A
VILLA RICA, GA 30180
Carroll County (770) 771-5235
WELLSTAR DOUGLASVILLE MEDICAL CENTER AT VILLA RICA, LLC
Internal Medicine
403 PERMIAN WAY, SUITE A
VILLA RICA, GA 30180
Carroll County (678) 840-4034
DR. ERIC VERA MD
Obstetrics & Gynecology
403 PERMIAN WAY, SUITE A
VILLA RICA, GA 30180
Carroll County (770) 771-5235
WOMEN'S CARE OF WEST GEORGIA, LLC
Obstetrics & Gynecology
403 PERMIAN WAY, SUITE A
VILLA RICA, GA 30180
Carroll County (770) 771-5235

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 Michelae Jennings's NPI number?

The NPI number for Michelae Jennings is 1912580069. It was assigned to this individual provider in the NPPES registry on May 5, 2021.

Where is Michelae Jennings located?

Michelae Jennings practices at 403 Permian Way, Villa Rica, GA 30180. The listed phone number is (323) 947-8494.

What is Michelae Jennings's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Michelae Jennings was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.