| Dr Alicia M Jennings, MD | |
|
101 Quartz Drive, Suite 201, Villa Rica, GA 30180 | |
| (770) 456-3839 | |
| (770) 456-3846 |
| Full Name | Dr Alicia M Jennings |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 28 Years |
| Location | 101 Quartz Drive, Villa Rica, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366405037 | NPI | - | NPPES |
| 673576429C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 061901 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tanner Home Health Services | Carrollton, GA | Home health agency |
| Central Home Health Care, An Amedisys Company | Douglasville, GA | Home health agency |
| Kindred At Home | Peachtree city, GA | Home health agency |
| Tanner Medical Center Villa Rica | Villa rica, GA | Hospital |
| Tanner Medical Center - Carrollton | Carrollton, GA | Hospital |
| Wellstar Douglas Hospital | Douglasville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tanner Medical Group Inc | 2769536143 | 111 |
| Entity Name | Tanner Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396979787 PECOS PAC ID: 2769536143 Enrollment ID: O20090819000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alicia M Jennings, MD 119 Ambulance Dr Ste 202, Carrollton, GA 30117-3857 Ph: (770) 838-8710 | Dr Alicia M Jennings, MD 101 Quartz Drive, Suite 201, Villa Rica, GA 30180 Ph: (770) 456-3839 |
Martha Haack, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 690 Dallas Hwy, Suite 104, Villa Rica, GA 30180 Phone: 404-778-8440 | |
Dr. Sharon Tuckett, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Quartz Dr Ste 201, Villa Rica, GA 30180 Phone: 770-812-3839 Fax: 770-456-3846 | |
Dr. Amit Kumar, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 715 Wildwood Gln, Villa Rica, GA 30180 Phone: 610-739-4386 | |
Mujeeb A Jan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Dallas Hwy, Ste 104, Villa Rica, GA 30180 Phone: 404-778-5543 | |
Indupriya Palasani, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 705 Dallas Hwy, Suite 301, Villa Rica, GA 30180 Phone: 770-459-0408 | |
Muhammad Uneib, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 601 Dallas Hwy, Villa Rica, GA 30180 Phone: 707-812-3000 |