Dr Janine Nicole Pettiford, MD - Medicare General Surgery in Fayetteville, GA

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Dr Janine Nicole Pettiford, MD is a medicare enrolled "Surgery" physician in Fayetteville, Georgia. She went to Saint Louis University School Of Medicine and graduated in 2005 and has 20 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Northside Surgical Professional Services Llc and her current practice location is 325 North Jeff Davis Dr, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 461-1337.

Dr Janine Nicole Pettiford is licensed to practice in Georgia (license number 072414) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043541725.

Contact Information

Dr Janine Nicole Pettiford, MD
325 North Jeff Davis Dr,
Fayetteville, GA 30214
(770) 461-1337
(770) 461-0922

Map and Direction




Physician's Profile

Full NameDr Janine Nicole Pettiford
GenderFemale
SpecialityGeneral Surgery
Experience20 Years
Location325 North Jeff Davis Dr, Fayetteville, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Janine Nicole Pettiford attended and graduated from Saint Louis University School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1043541725
  • Provider Enumeration Date: 01/20/2010
  • Last Update Date: 11/08/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7517289374
  • Enrollment ID: I20141204002430

Medical Identifiers

Medical identifiers for Dr Janine Nicole Pettiford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043541725NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery BP10023659 (Texas)Secondary
208600000XSurgery 2010013505 (Missouri)Secondary
208600000XSurgery 072414 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northside HospitalAtlanta, GAHospital
Piedmont Fayette HospitalFayetteville, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northside Surgical Professional Services Llc8628253424332

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Janine Nicole Pettiford allows following entities to bill medicare on her behalf.
Entity NameNorthside Surgical Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356630990
PECOS PAC ID: 8628253424
Enrollment ID: O20110420000598
Entity NameSouthern Regional Physicians Management Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043677271
PECOS PAC ID: 9032491956
Enrollment ID: O20170127002483

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Janine Nicole Pettiford is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Janine Nicole Pettiford, MD
33 Upper Riverdale Road Sw, Suite 112,
Fayetteville, GA 30214-1627

Ph: (770) 996-3190		Dr Janine Nicole Pettiford, MD
325 North Jeff Davis Dr,
Fayetteville, GA 30214

Ph: (770) 461-1337

Reviews and Comments


Surgery Doctors in Fayetteville, GA

Walker Shearon, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1265 Highway 54 W Ste 500b, Fayetteville, GA 30214
Phone: 404-265-4411    
Taheisha Rena Deese, NP
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1265 Highway 54 W Ste 305, Fayetteville, GA 30214
Phone: 770-719-5660    
Dr. James Mattingly Stevens, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1265 Highway 54 W, Suite 500b, Fayetteville, GA 30214
Phone: 770-719-5660    Fax: 678-817-4339
Meghan Morgan, CST
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 101 Yorktown Dr., Suite 110, Fayetteville, GA 30214
Phone: 770-461-2101    
Mio Yanagisawa,
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1279 Highway 54 W Ste 100, Fayetteville, GA 30214
Phone: 770-719-5710    
Russell Andrew Wilson, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1265 Highway 54 W Ste 500b, Fayetteville, GA 30214
Phone: 770-719-5660    Fax: 678-336-5955

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.