| Jaclyn C Collins, FNP | |
|
1155 Main St, Young Harris, GA 30582 | |
| (706) 439-6873 | |
| (706) 439-6874 |
| Full Name | Jaclyn C Collins |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 1155 Main St, Young Harris, 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 |
|---|---|---|---|
| 1124424536 | NPI | - | NPPES |
| 003161419A | Medicaid | GA | |
| 1124424536 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN208019 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mountain Home Health | Blairsville, GA | Home health agency |
| Union General Hospital | Blairsville, GA | Hospital |
| Murphy Medical Center Inc | Murphy, NC | Hospital |
| Chatuge Regional Hospital | Hiawassee, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Of Georgia Llc | 4284951542 | 455 |
| Entity Name | Hillcrest Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831370188 PECOS PAC ID: 6901700152 Enrollment ID: O20031120000566 |
| Entity Name | Chatuge Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326028978 PECOS PAC ID: 0840196523 Enrollment ID: O20031211001052 |
| Entity Name | Union County Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487684122 PECOS PAC ID: 3779490503 Enrollment ID: O20040102000231 |
| Entity Name | Privia Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn C Collins, FNP 35 Hospital Rd, Blairsville, GA 30512-3139 Ph: (706) 745-2111 | Jaclyn C Collins, FNP 1155 Main St, Young Harris, GA 30582 Ph: (706) 439-6873 |