| Mrs Jessica Rose Faust, RN, FNP-C | |
|
67 W Railroad St, Shellman, GA 39886-3100 | |
| (229) 679-2100 | |
| (855) 538-8488 |
| Full Name | Mrs Jessica Rose Faust |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 67 W Railroad St, Shellman, 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 |
|---|---|---|---|
| 1942658125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN208979 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Phoebe Putney Memorial Hospital | Albany, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shellman Medical Llc | 2062945330 | 3 |
| Entity Name | Phoebe Putney Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992789721 PECOS PAC ID: 4486559549 Enrollment ID: O20031203000397 |
| Entity Name | Phoebe Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
| Entity Name | Shellman Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992548994 PECOS PAC ID: 2062945330 Enrollment ID: O20241024002252 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jessica Rose Faust, RN, FNP-C Po Box 207, Shellman, GA 39886-0207 Ph: (229) 679-2100 | Mrs Jessica Rose Faust, RN, FNP-C 67 W Railroad St, Shellman, GA 39886-3100 Ph: (229) 679-2100 |
Betsy Diaz, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 67 W Railroad St, Shellman, GA 39886 Phone: 229-679-2100 | |
Tiffany Harrell Garland, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 67 W Railroad St, Shellman, GA 39886 Phone: 229-679-2100 |