| Jasmine Dixon, | |
|
115 Brentwood Dr, Waynesboro, GA 30830-4519 | |
| (731) 394-1145 | |
| Not Available |
| Full Name | Jasmine Dixon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 115 Brentwood Dr, Waynesboro, 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 |
|---|---|---|---|
| 1467390559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | APRN-NP292883 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ultra Health Providers Ii Llc | 5395284616 | 39 |
| Entity Name | Ultra Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922469543 PECOS PAC ID: 6800186602 Enrollment ID: O20220916000007 |
| Entity Name | Ultra Health Providers II LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033956057 PECOS PAC ID: 5395284616 Enrollment ID: O20240829003110 |
| Mailing Address | Practice Location Address |
|---|---|
| Jasmine Dixon, Po Box 269084, Dept 1102, Oklahoma City, OK 73126-9084 Ph: Not Available | Jasmine Dixon, 115 Brentwood Dr, Waynesboro, GA 30830-4519 Ph: (731) 394-1145 |
Mrs. Barbara Ann Evans Hammett, FNP-BC, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 Dogwood Dr, Waynesboro, GA 30830 Phone: 706-554-3456 Fax: 706-554-2944 |
Karen Roberts Cunningham, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Brentwood Dr, Waynesboro, GA 30830 Phone: 731-394-1145 |
Mrs. Regina Jenkins Richardson, RN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 114 Dogwood Dr, Waynesboro, GA 30830 Phone: 706-554-3456 Fax: 706-554-2944 |
Mrs. Susan S. Ragains, RN,FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 114 Dogwood Dr, Waynesboro, GA 30830 Phone: 706-554-3618 |
Shametrial Glascock Foreman, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 509 W 4th St, Waynesboro, GA 30830 Phone: 706-825-3373 |
Mrs. Ashley J Boynton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2281 Porter Carswell Rd, Waynesboro, GA 30830 Phone: 706-421-6949 |
Mrs. Shanika Linette Richardson Conyers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 351 S Liberty St, Waynesboro, GA 30830 Phone: 706-554-2176 |