Jennifer Dorough, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN200221 Issued in GA

Practice address

400 Charter Blvd
Macon, GA 31210-4831

Phone

(478) 757-8200

NPI assigned

Sep 19, 2018

Last updated

Sep 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, NE2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cogent Healthcare of Georgia PCGroup PAC ID 2961483607, 252 clinicians

Box Butte General HospitalGroup PAC ID 9638089584, shared by 7 NPIs, 60 clinicians

Teledigm Physician Services LLCGroup PAC ID 6002130283, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Macon North Hospital Hospital, Macon, GA, CCN 110201

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.

• Cogent Healthcare of Georgia PC

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1609827823

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Teledigm Physician Services, LLC

  • Specialist
  • Lincoln, NE
  • NPI 1548667256
  Medicare reassignment Care Compare group NPD
• Box Butte General Hospital

  • Critical Access Hospital
  • Alliance, NE
  • NPI 1811929060
  Medicare reassignment NPD
• Box Butte General Hospital

  dba Greater Nebraska Medical & Surgical Services - Alliance

  • Clinic/Center
  • Alliance, NE
  • NPI 1871652453
  Medicare reassignment NPD
• Box Butte General Hospital

  • Critical Access Hospital Clinic/Center
  • Alliance, NE
  • NPI 1346309929
  NPD
• Box Butte General Hospital

  dba Greater Nebraska Medical & Surgical Services - Hemingford

  • Rural Health Clinic/Center
  • Hemingford, NE
  • NPI 1609944388
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Macon Northside Hospital, LLC

  dba Piedmont Macon North Hospital

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1811940976
  Care Compare affiliation

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1295219939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4806 GUERRY DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104104",
            "telephone_number": "478-320-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CHARTER BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104831",
            "telephone_number": "478-757-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 Bowman Park Ste A",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312105782",
            "country_code": "US",
            "telephone_number": "478-755-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOROUGH",
        "first_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN200221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Ruth Dominy, LPC
• Norman L Donati Jr., MD
• Karen J. M. Donato, PA-C
• Brian Joseph Donn, M.D.
• Christopher Doomes, RBT
• Callie Dossett, NP
• Sesi O Dosunmu-Ogunbi, M.D.
• Jennifer Ruth Dougherty, BS, RBT
• Douglas Farman MD LLC
• Douglas P Dozier MD PC

• Nurse Practitioner in Macon, GA
• Providers in Macon, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.