Jennifer Alaine Backus, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN236089 Issued in GA

Practice address

1800 Howell Mill Rd NW Ste 450
Atlanta, GA 30318-2508

Phone

(404) 355-4393

Fax

(404) 609-7648

NPI assigned

Jun 26, 2018

Last updated

Dec 10, 2024By 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

Other names 1

• Jennifer Backus Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Thomas C Jones, M.D., P.C.

  dba The Jones Center for Diabetes & Endocrine Wellness

  • Endocrinology, Diabetes & Metabolism Physician
  • Macon, GA
  • NPI 1366624199
  Medicare reassignment NPD
• Atlanta Diabetes Associates

  • Endocrinology, Diabetes & Metabolism Physician
  • Atlanta, GA
  • NPI 1366492282
  NPD
• Van Meter Pediatric Endocrinology

  dba Atlanta Diabetes Associates

  • Pediatric Endocrinology Physician
  • Atlanta, GA
  • NPI 1487967360
  NPD
• DRS. Woodall, Wilson & Manley, LLP

  • Family Medicine Physician
  • Barnesville, GA
  • NPI 1881862191
  NPD (past)

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1023503760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 SHERATON BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31210",
            "telephone_number": "478-746-8626",
            "fax_number": "478-746-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182508",
            "telephone_number": "404-355-4393",
            "fax_number": "404-609-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKUS",
        "first_name": "JENNIFER",
        "middle_name": "ALAINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN236089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BACKUS",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Back on Track
• Back to Action Sports Rehab, LLC. (Georgia Sports Physical Therapy)
• Monica Backlund
• Anika L Backster, M.D
• Deborah Backus, PT, PHD
• Michelle Bacon, BS
• William Carl Bacon, D.MIN.
• Hagar Badawy, PHARMD
• Harry Michael Baddour Jr., M.D.
• Morgan Leigh Bade

• Family Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.