| Nancy T Jeter, CRNA | |
|
677 Church St Ne, Marietta, GA 30060-1101 | |
| (770) 794-0477 | |
| (770) 794-3108 |
| Full Name | Nancy T Jeter |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 677 Church St Ne, Marietta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235184185 | NPI | - | NPPES |
| 000856963E | Medicaid | GA | |
| 1235184185 | Other | GA | NPI |
| 1982637419 | Other | GA | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN091310 (Georgia) | Primary |
| Entity Name | Windy Hill Anesthesia Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467514943 PECOS PAC ID: 2466358296 Enrollment ID: O20031211000273 |
| Entity Name | Northlake Anesthesia Professionals, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982637419 PECOS PAC ID: 2769471796 Enrollment ID: O20040506001031 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy T Jeter, CRNA Po Box 932840, Atlanta, GA 31193-2925 Ph: (800) 749-2940 | Nancy T Jeter, CRNA 677 Church St Ne, Marietta, GA 30060-1101 Ph: (770) 794-0477 |
Devin Horton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 | |
Mario Torres-nieves, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2540 Windy Hill Rd Se, Marietta, GA 30067 Phone: 470-644-1274 | |
Mr. Wesley Eric Karcher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1545 Powers Ferry Rd Se Ste 120, Marietta, GA 30067 Phone: 770-580-0979 Fax: 678-383-6735 | |
Jack Neil Kendrick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 488 Kennesaw Ave Nw Ste 100, Marietta, GA 30060 Phone: 404-888-7590 | |
Ashley Fitzgerald Hall, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 757-339-9356 | |
Nancy Uhrich, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108 | |
Russell L. Branch Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 531 Roselane St Nw, Suite 830, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108 |