| Whitney Leanne Dockery, CNM | |
|
725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | |
| (770) 297-2200 | |
| (770) 534-8139 |
| Full Name | Whitney Leanne Dockery |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 725 Jesse Jewell Pkwy Se, Gainesville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407443575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | RN149342 (Georgia) | Primary |
| Entity Name | The Longstreet Clinic, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521 |
| Mailing Address | Practice Location Address |
|---|---|
| Whitney Leanne Dockery, CNM Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 718-1122 | Whitney Leanne Dockery, CNM 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 Ph: (770) 297-2200 |
Vivian Clare Gradin, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 725 Jesse Jewell Pkwy Se, Suite 200, Gainesville, GA 30501 Phone: 770-297-2200 Fax: 770-534-8139 | |
Amanda Turner Driskell, RN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-297-2200 Fax: 770-534-8139 | |
Ruth Sherry, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-297-2200 Fax: 770-534-8139 | |
Destiny D Gilder, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-297-2200 Fax: 770-534-8139 | |
Diane S Tandy, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1285 Sims St, Gainesville, GA 30501 Phone: 770-536-0149 Fax: 770-536-0317 | |
Sally A. Monroe, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-297-2200 Fax: 770-534-8139 | |
Kimberly Patton Blasingame, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-297-2200 Fax: 770-534-8139 |