Individual provider Active NPI

Jennah Cutting

  • Family Nurse Practitioner
  • Woodstock, GA
National Provider Identifier
1184161622
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN218918 Issued in GA
Practice address
12195 Highway 92
Suite 144
Woodstock, GA 30188-3602
Phone
(678) 540-7827
NPI assigned
Jan 23, 2017
Last updated
Jan 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN218918 GA Primary
Registered Nurse 163W00000X RN218918 GA

Addresses

Primary practice location

12195 Highway 92
Suite 144
Woodstock, GA 30188-3602

Mailing address

12195 Highway 92
Suite 144
Woodstock, GA 30188-3602
Phone (678) 540-7827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20191007003180 NC Practitioner - Nurse Practitioner 6103157086 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trinity Wellness Center of Wilmington IncGroup PAC ID 6002843752, 14 clinicians

Practice addresses (Care Compare)

7741 Market St
Suite H
Wilmington, NC 28411-9444
Phone (910) 343-8424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN218918GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Medical Group Inc CurrentSince Aug 1, 2019 Accepting new patients
Trinity Wellness Center of Wilmington Inc CurrentSince Sep 1, 2023 Accepting new patients
Menke Investment, Inc PastSince Feb 25, 2024 Accepting new patients
QRC 360 Enterprises Family Past Accepting new patients

Locations

3200 Waterfield Dr
Garner, NC 27529
Phone (919) 502-1187

1000 Corporate Dr
Ste 301
Hillsborough, NC 27278
Phone (910) 343-8424

2050 Mercantile Dr
Leland, NC 28451
Phone (910) 371-2500

1907 S 17th St
Ste 1
Wilmington, NC 28401
Phone (877) 603-6199

7741 Market St
Ste H
Wilmington, NC 28411
Phone (910) 343-8424

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, 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": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1184161622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12195 HIGHWAY 92",
            "address_2": "SUITE 144",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883602",
            "telephone_number": "678-540-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12195 HIGHWAY 92",
            "address_2": "SUITE 144",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883602",
            "telephone_number": "678-540-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTTING",
        "first_name": "JENNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN218918",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN218918",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.