Jennifer Nicole Hennon, is a medicare enrolled "Nurse Practitioner" in Rock Spring, Georgia. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dalton Family Practice, P.c. and her current practice location is
216 Thacker Dr, Rock Spring, Georgia. You can reach out to her office (for appointments etc.) via phone at
(866) 434-3255.
Jennifer Nicole Hennon is licensed to practice in Georgia (license number RN184417) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316621436.
Provider's Profile
| Full Name | Jennifer Nicole Hennon |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 216 Thacker Dr, Rock Spring, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jennifer Nicole Hennon graduated from nursing school in 2023
NPI Data:
- NPI Number: 1316621436
- Provider Enumeration Date: 06/09/2023
- Last Update Date: 12/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 2466800412
- Enrollment ID: I20231130003202
Medical Identifiers
Medical identifiers for Jennifer Nicole Hennon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316621436 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | RN184417 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Dalton Family Practice, P.c. | 6103817572 | 10 |
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 Nicole Hennon allows following entities to bill medicare on her behalf.
| Entity Name | Dalton Family Practice, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639167026
PECOS PAC ID: 6103817572
Enrollment ID: O20040524000552 |
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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 Nicole Hennon 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 Address | Practice Location Address |
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Jennifer Nicole Hennon,
10 W Market St Ste 2900,
Indianapolis, IN 46204-2964
Ph: (866) 434-3255 | Jennifer Nicole Hennon,
216 Thacker Dr,
Rock Spring, GA 30739-7200
Ph: (866) 434-3255 |
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