| Faneshia Peterson, FNP | |
|
4475 W Village Pkwy, Ellenwood, GA 30294-2869 | |
| (770) 507-7950 | |
| Not Available |
| Full Name | Faneshia Peterson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 4475 W Village Pkwy, Ellenwood, 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 |
|---|---|---|---|
| 1942898473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN-NP259066 (Georgia) | Primary |
| 163W00000X | Registered Nurse | 259066 (Georgia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peachtree Immediate Care Fp, Llc | 3274559323 | 273 |
| Entity Name | Peachtree Immediate Care Fp, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
| Entity Name | Wellstreet Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235411547 PECOS PAC ID: 7517126279 Enrollment ID: O20120315000603 |
| Mailing Address | Practice Location Address |
|---|---|
| Faneshia Peterson, FNP 289 Jonesboro Rd Ste 104, Mcdonough, GA 30253-3725 Ph: (470) 641-5996 | Faneshia Peterson, FNP 4475 W Village Pkwy, Ellenwood, GA 30294-2869 Ph: (770) 507-7950 |
Sharalyn Marrion Martin, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 Saint Lukes Way, Ellenwood, GA 30294 Phone: 678-520-1616 | |
Jacqueline Lewis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 304 Summit Heights Ct Ste 120, Ellenwood, GA 30294 Phone: 404-552-5128 | |
Ms. Abosede Haygood, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4639 River Hill Cir, Ellenwood, GA 30294 Phone: 404-259-0967 | |
Ngassa Nchapada Menga Faith, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2568 Brittany Park Cv, Ellenwood, GA 30294 Phone: 404-578-5437 | |
Rose Senge Kombe, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 Fairview Rd, Ellenwood, GA 30294 Phone: 678-289-6747 Fax: 678-289-6750 | |
Shalundrah Mcintire, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4475 W Village Pkwy, Ellenwood, GA 30294 Phone: 770-507-7950 Fax: 716-710-8082 | |
Mrs. Terrilyn D Lemons, APRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4018 Park Place Cir, Ellenwood, GA 30294 Phone: 404-212-1024 Fax: 404-212-1024 |