| Jacquelyn Nicole Mcdowell, CPNP | |
|
4000 Shakerag Hl, Suite 201, Peachtree City, GA 30269-4047 | |
| (770) 486-7111 | |
| (770) 486-7131 |
| Full Name | Jacquelyn Nicole Mcdowell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 4000 Shakerag Hl, Peachtree City, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326373820 | NPI | - | NPPES |
| 208812066A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | RN177697 NP (Georgia) | Primary |
| Entity Name | Privia Pediatric Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710385513 PECOS PAC ID: 3375861032 Enrollment ID: O20150409002405 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquelyn Nicole Mcdowell, CPNP 4000 Shakerag Hl, Suite 201, Peachtree City, GA 30269-4047 Ph: (770) 486-7111 | Jacquelyn Nicole Mcdowell, CPNP 4000 Shakerag Hl, Suite 201, Peachtree City, GA 30269-4047 Ph: (770) 486-7111 |
Mrs. Lorene Greene, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1975 Highway 54 W, Suite 150, Peachtree City, GA 30269 Phone: 770-786-5000 Fax: 404-588-2624 | |
Mrs. Melissa Lynn Catherine Harvey, MSN, FNP-C, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Lexington Cir, Peachtree City, GA 30269 Phone: 866-389-2727 | |
Melissa Kristine Petersen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1401 Georgian Park Ste 200, Peachtree City, GA 30269 Phone: 770-632-8909 | |
Pauline Kpannah, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 564 Crosstown Dr, Peachtree City, GA 30269 Phone: 770-282-2944 | |
Sini Poulose, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 Willow Bend Rd, Peachtree City, GA 30269 Phone: 770-681-0157 | |
Tya Wright, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 564 Crosstown Dr, Peachtree City, GA 30269 Phone: 770-282-2944 | |
Sydney Mason Weaver, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 215 Willow Bend Rd, Peachtree City, GA 30269 Phone: 770-681-0157 |