Jennifer Johnson Slade, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN117428 NP Issued in GA

Practice address

1508 Hardeman Ave Ste B
Macon, GA 31201-1471

Phone

(478) 741-7337

NPI assigned

Jul 20, 2009

Last updated

Nov 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JEAFAA/Endpoint/JEAFAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Middle Georgia Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Macon, GA
  • NPI 1073885828
  NPD (past)
• Northside Pediatrics PC

  • Pediatric Adolescent Medicine Physician
  • Macon, GA
  • NPI 1598232944
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1013147503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 HARDEMAN AVE STE B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312011471",
            "telephone_number": "478-741-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 HARDEMAN AVE STE B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312011471",
            "telephone_number": "478-741-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLADE",
        "first_name": "JENNIFER",
        "middle_name": "JOHNSON",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN117428 NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aidan J Skalko, PARAMEDIC
• Skin Care Physicians of Georgia, P.C.
• Mary Ann Skinner, RN
• Tatyana Y. Sklyar, M.D.
• Tatyana B Sklyarevskaya, MD
• Lance E Slade, M.D.
• Edwin Duncan Slappey, M.D.
• Joseph E Slappey Jr., MD
• Skyler Woodard Slater
• James Slaughter, RBT

• Pediatric Nurse Practitioner in Macon, GA
• Providers in Macon, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.