Individual provider Active NPI

Jennifer Ashley Skinner

  • Nurse Practitioner
  • Baxley, GA
National Provider Identifier
1144957671
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN232787 Issued in GA
Practice address
821 S Main St Ste C
Baxley, GA 31513-0163
Phone
(912) 644-5300
NPI assigned
Aug 4, 2022
Last updated
May 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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 RN232787 GA Primary

Addresses

Primary practice location

821 S Main St Ste C
Baxley, GA 31513-0163

Mailing address

440 Mall Blvd Ste C
Savannah, GA 31406-4868
Phone (912) 644-3340

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
I20220815002362 GA Practitioner - Nurse Practitioner 1557744166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Effingham Rehab Services, LLCGroup PAC ID 5597752063, shared by 3 NPIs, 143 clinicians
Tattnall Hospital Company LLCGroup PAC ID 6204907124, 47 clinicians

Practice addresses (Care Compare)

1390 Boone Ave Ext
Suite A23
Kingsland, GA 31548-6515
Phone (419) 221-3717

16915 Hwy 67 S
Suite a
Statesboro, GA 30458-5819
Phone (912) 681-2500

210 E Derenne Ave
Savannah, GA 31405-6736
Phone (912) 644-5300

247 S Main St
Reidsville, GA 30453-4605
Phone (912) 557-1000

257 S Main St
Reidsville, GA 30453-4605
Phone (912) 557-8990

Merit-based Incentive Payment System (MIPS)

Final score
54.22 of 100Reported as group
Quality
71.46
Promoting interoperability
0
Improvement activities
40
Cost
59.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN232787GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tattnall Hospital Company, LLC CurrentSince Aug 1, 2022 Accepting new patients
Tattnall Hospital Company, LLC CurrentSince Aug 1, 2022 Accepting new patients
Tattnall Hospital Company, LLC Past Accepting new patients
Tattnall Hospital Company, LLC Past Accepting new patients
Tattnall Hospital Company, LLC Past Accepting new patients
Tattnall Hospital Company, LLC Past Accepting new patients
Tattnall Hospital Company LLC Past Accepting new patients
Tattnall Hospital Company, LLC Past Accepting new patients
Tattnall Hospital Company, LLC Past Accepting new patients
Tattnall Hospital Company, LLC Past Accepting new patients

Locations

821 S Main St
Ste C
Baxley, GA 31513
Phone (912) 637-5486

602 E Long St
Claxton, GA 30417
Phone (912) 739-2509

790 Veterans Parkway
Ste 111
Hinesville, GA 31313
Phone (912) 368-3868

961 E Winthrope Ave
Millen, GA 30442
Phone (478) 982-0120

247 S Main St
#A
Reidsville, GA 30453
Phone (912) 352-4490

322 Stephenson Ave
Ste A
Savannah, GA 31405
Phone (912) 544-5300

440 Mall Blvd
Ste C
Savannah, GA 31406

460 Mall Blvd
Ste B
Savannah, GA 31406
Phone (912) 644-1626

16915 Highway 67
#A
Statesboro, GA 30458
Phone (912) 681-2500

119B Victory Dr
Swainsboro, GA 30401
Phone (478) 237-7676

102 Rocky Ford Rd
Sylvania, GA 30467
Phone (912) 564-2155

209 Mims Rd
#A
Sylvania, GA 30467
Phone (912) 564-5236

303 Harris Industrial Blvd
Vidalia, GA 30474
Phone (912) 537-0888

Interoperability endpoints

  • Direct secure messaging: jennifer.skinner.1@16403.direct.athenahealth.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1144957671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MALL BLVD STE C",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064868",
            "telephone_number": "912-644-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 S MAIN ST STE C",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130163",
            "telephone_number": "912-644-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "JENNIFER",
        "middle_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN232787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxley, GA

Sources for this page

Verify at the official NPI Registry.