Jennifer Nunn Tarbutton, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

053306 Issued in GA

Practice address

610 Ferncrest Dr Ste a
Sandersville, GA 31082-1863

Phone

(478) 552-0006

Fax

(478) 552-0010

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Jennifer Gayle Nunn Former name

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

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Hospital Authority of Washington County

  • Rural Acute Care Hospital
  • Sandersville, GA
  • NPI 1396770004

  GA

  Medicare reassignment NPD
• Hospital Authority of Washington County

  • Physical Therapy Clinic/Center
  • Sandersville, GA
  • NPI 1528619491
  NPD
• Hospital Authority of Washington County

  • Pediatrics Physician
  • Sandersville, GA
  • NPI 1740319623

  Pediatrics

  NPD (past)
• WC Physician Group LLC

  • Rural Health Clinic/Center
  • Sandersville, GA
  • NPI 1174024665

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1487724357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 DOGWOOD CIR",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310828429",
            "telephone_number": "404-273-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 FERNCREST DR STE A",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821863",
            "telephone_number": "478-552-0006",
            "fax_number": "478-552-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARBUTTON",
        "first_name": "JENNIFER",
        "middle_name": "NUNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "053306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "544940168C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "NUNN",
            "middle_name": "GAYLE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janice Dudley Stahl, CRNA
• Tyra Benet Stephens, PHARMD
• Subhash S Pujara MD LLC
• Jean Sumner, M.D.
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• Chad Donald Tarr, MD
• Tattnall Hospital Company, LLC
• Angela Taylor
• Earle M Taylor, M.D.
• Shalu R Taylor, WHNP

• All providers in Sandersville, GA
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.