Jennifer Lynn Davenport, NP - Medicare Nurse Practitioner in Holly Springs, GA

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Jennifer Lynn Davenport, NP is a medicare enrolled "Nurse Practitioner - Family" in Holly Springs, Georgia. Her current practice location is 684 Sixes Rd Ste 125, Holly Springs, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 426-5450.

Jennifer Lynn Davenport is licensed to practice in Georgia (license number RN222665) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700394319.

Contact Information

Jennifer Lynn Davenport, NP
684 Sixes Rd Ste 125,
Holly Springs, GA 30115
(678) 426-5450
Not Available

Map and Direction




Provider's Profile

Full NameJennifer Lynn Davenport
GenderFemale
SpecialityNurse Practitioner - Family
Location684 Sixes Rd Ste 125, Holly Springs, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700394319
  • Provider Enumeration Date: 01/17/2018
  • Last Update Date: 07/31/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0446224083
  • Enrollment ID: I20180730003411

Medical Identifiers

Medical identifiers for Jennifer Lynn Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700394319NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN222665 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennifer Lynn Davenport allows following entities to bill medicare on her behalf.
Entity NameThe Bortolazzo Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801965082
PECOS PAC ID: 3476554320
Enrollment ID: O20070122000015
Entity NamePersonal Recovery Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881990869
PECOS PAC ID: 5092611384
Enrollment ID: O20120110000096
Entity NameEtowah Emergency Physicians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962944900
PECOS PAC ID: 1456635697
Enrollment ID: O20170307000640
Entity NameMc Medical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356907695
PECOS PAC ID: 4183955974
Enrollment ID: O20191009000622

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Lynn Davenport is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer Lynn Davenport, NP
416 Shoni Ln,
Woodstock, GA 30189-5121

Ph: () -		Jennifer Lynn Davenport, NP
684 Sixes Rd Ste 125,
Holly Springs, GA 30115

Ph: (678) 426-5450

Reviews and Comments


Nurse Practitioner Nurses in Holly Springs, GA

Mary Blalock,
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Practice Location: 107 Lake Reserve Way, Holly Springs, GA 30115
Phone: 770-354-0471    
Lora Eve Lyon, FNP
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Practice Location: 1120 Wellstar Way Ste 105, Holly Springs, GA 30114
Phone: 678-494-2500    Fax: 678-494-2629
Mindy Bishop Joyner, NP-C
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Practice Location: 1120 Wellstar Way Ste 201, Holly Springs, GA 30114
Phone: 470-267-0152    
Stacey Collene Cox, N.P.-C
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Medicare: Accepting Medicare Assignments
Practice Location: 684 Sixes Rd Ste 265, Holly Springs, GA 30115
Phone: 770-720-2221    Fax: 770-720-2282
Bethany Ellen Kinsey, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1120 Wellstar Way Ste 204, Holly Springs, GA 30114
Phone: 470-267-0135    Fax: 770-999-2631
Sherene Good, RN, CDE
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 684 Sixes Rd Ste 265, Holly Springs, GA 30115
Phone: 770-720-2221    Fax: 770-720-2282
Mrs. Hannah Van Weele, APRN, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 684 Sixes Rd Ste 130, Holly Springs, GA 30115
Phone: 678-388-5485    Fax: 678-388-5489

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.