Jessica Marie Alferink, FNP
Individual provider Active NPI Family Nurse Practitioner · Baxley, GA
NPI 1235627464 · NPPES record last updated Nov 11, 2020
Key facts
- NPI
- 1235627464
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN222327 (GA)
- Practice address
- 73 SW Park St
Suite B
Baxley, GA 31513-3151 - Phone
- (912) 705-8050
- Fax
- (912) 705-8051
- NPI assigned
- Apr 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SGMC Affiliated Services LLC
Practice addresses (Care Compare)
4256 N Valdosta Rd
Valdosta, GA 31602-6814
Phone (229) 433-8200
Hospital & facility affiliations
- SGMC Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181004001062 | GA | Practitioner - Nurse Practitioner | 7416209358 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restor Metabolix of Columbus | Current |
Accepting new patients | |
| Hormone and Diabetic Infusion Center | Current |
Accepting new patients | |
| SGMC Affiliated Services LLC | Current |
Accepting new patients | |
| South Georgia Emergency Medicine Associates PC | Current |
Accepting new patients | |
| Cogent Healthcare of Georgia PC | Current |
Accepting new patients | |
| Hospitalist Medicine Physicians of Georgia-TCG, PC | Current |
Accepting new patients | |
| Restor Metabolix of Savannah | Current |
Accepting new patients | |
| Wills Memorial Emergency Medical Services, LLC | Past | Accepting new patients |
Locations
1005 Talbotton Rd
Ste B
Columbus, GA 31904
Phone (706) 321-3901
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
1129 Lake Oconee Pkwy
Ste 104
Eatonton, GA 31024
Phone (706) 485-4004
1000 Towne Center Blvd
Ste 602
Pooler, GA 31322
Phone (912) 228-3502
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
4256 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 242-1234
520 Griffin Ave
Ste A
Valdosta, GA 31601
Phone (229) 433-7340
4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350
Interoperability endpoints
- jessica.alferink.1@22730.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN222327 | GA | Yes |
Addresses
Primary practice location
73 SW Park St
Suite B
Baxley, GA 31513-3151
Mailing address
73 SW Park St
Suite B
Baxley, GA 31513-5473
Phone (912) 705-8050
Other providers in Baxley, GA
- 912 Healthcare, LLC
- Josefina Cathryn Abendan Dubberly
- Abundant Life Pharmacy & Health Foods Inc
- Abundant Life Pharmacy & Health Foods Inc
- Juan Alexander Alonso
- Altamaha Homecare, Inc.
- Altamaha Homecare, Inc.
- Altamaha Homecare, Inc.
- Caroline Anderson
All providers in Baxley, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.