| Daneisha Latrell Rogers, DNP, FNP-C | |
|
283 Martin Luther King Jr Blvd, Blakely, GA 39823-3455 | |
| (292) 261-9884 | |
| (229) 261-9895 |
| Full Name | Daneisha Latrell Rogers |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 283 Martin Luther King Jr Blvd, Blakely, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821689720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN243862 (Georgia) | Primary |
| Entity Name | Primary Care Of Southwest Georgia, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366641318 PECOS PAC ID: 5496777948 Enrollment ID: O20060201000362 |
| Entity Name | Onesource Healthcare Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609207034 PECOS PAC ID: 4284864810 Enrollment ID: O20140227001514 |
| Mailing Address | Practice Location Address |
|---|---|
| Daneisha Latrell Rogers, DNP, FNP-C Po Box 4715, Donalsonville, GA 39845-4715 Ph: (229) 309-9079 | Daneisha Latrell Rogers, DNP, FNP-C 283 Martin Luther King Jr Blvd, Blakely, GA 39823-3455 Ph: (292) 261-9884 |
Jessica Price Vinson, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 360 College St, Blakely, GA 39823 Phone: 229-723-2660 Fax: 229-723-2663 | |
Allison Josey, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 360 College St, Blakely, GA 39823 Phone: 229-723-2660 Fax: 229-723-2663 | |
Chandra Levatte, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 711 Chancey Mill Rd, Blakely, GA 39823 Phone: 229-308-5203 | |
Mrs. Elizabeth Singletary Mansfield, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 360 College St, Blakely, GA 39823 Phone: 229-723-2660 Fax: 229-723-2663 | |
Kelly Diane Mccarley, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1908 Tarver Dr, Blakely, GA 39823 Phone: 229-308-0460 | |
Regina Alia Beacham, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 E Carrie Ct, Blakely, GA 39823 Phone: 229-308-1473 |