Individual provider Active NPI

Marlanea Jarrell, NP

  • Nurse Practitioner
  • Warner Robins, GA
National Provider Identifier
1013501857
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN210235 Issued in GA
Practice address
105 Tommy Stalnaker Dr Ste 1
Warner Robins, GA 31088-8035
Phone
(478) 333-3612
NPI assigned
Feb 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN210235 GA Primary

Addresses

Primary practice location

105 Tommy Stalnaker Dr Ste 1
Warner Robins, GA 31088-8035

Mailing address

105 Tommy Stalnaker Drive
Suite 1
Warner Robins, GA 31088-8035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210616001271 GA Practitioner - Nurse Practitioner 3678973476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middle Flint Area Community Service BoardGroup PAC ID 3274426150, 9 clinicians

Practice addresses (Care Compare)

415 N Jackson St
Americus, GA 31709-3015
Phone (229) 931-2504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN210235GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Flint Area Community Service Board CurrentSince Dec 1, 2022 Accepting new patients
Hypertension and Kidney Associates of Middle Georgia, LLC CurrentSince Apr 1, 2021 Accepting new patients
Middle Flint Area Community Service Board CurrentSince Dec 1, 2022 Accepting new patients
Middle Flint Area Community Service Board Current Accepting new patients

Locations

415 N Jackson St
Americus, GA 31709
Phone (229) 815-5454

105 Tommy Stalnaker Dr
Ste 1
Warner Robins, GA 31088
Phone (478) 333-3612

105 Tommy Stalnaker Dr
Warner Robins, GA 31088
Phone (478) 333-3612

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1013501857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 TOMMY STALNAKER DRIVE",
            "address_2": "SUITE 1",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 TOMMY STALNAKER DR STE 1",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888035",
            "telephone_number": "478-333-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRELL",
        "first_name": "MARLANEA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN210235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.