Ja'Nere Lena Domingo, FNP-BC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

RN280061 Issued in GA

Practice address

4215 Woodruff Rd
Columbus, GA 31904-6889

Phone

(706) 653-6080

Fax

(706) 653-6052

NPI assigned

Oct 14, 2022

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: ja.nere.domingo.1@3890.direct.athenahealth.com

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1467178079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 WOODRUFF RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046889",
            "telephone_number": "706-653-6080",
            "fax_number": "706-653-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 WOODRUFF RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046889",
            "telephone_number": "706-653-6080",
            "fax_number": "706-653-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGO",
        "first_name": "JA'NERE",
        "middle_name": "LENA",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN280061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Dodson, LCSW
• John Thomas Doheny III, LPC
• Jennifer Doiron, SST II
• Dan Doleman Jr., PT
• Raven Dollar
• Brittany Skylar Dominguez
• Destiney April Dominguez
• Knyishia Donald
• Vanessa Donnelly, RBT
• Haeden Donner

• Family Medicine Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.