Jennifer C Achebe, M.D.
Individual provider Active NPI Family Medicine Physician · Macon, GA
NPI 1760914733 · NPPES record last updated Mar 14, 2019
Key facts
- NPI
- 1760914733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 009139 (GA)
- Practice address
- 3780 Eisenhower Pkwy
Macon, GA 31206-0800 - Phone
- (478) 633-5550
- Fax
- (478) 633-7287
- NPI assigned
- Mar 29, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- TMC Immediate Care, Inc
Practice addresses (Care Compare)
1480S Hwy 27
Carrollton, GA 30117-8901
Phone (770) 836-9445
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200722004055 | GA | Practitioner - Family Practice | 2365792249 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanner Medical Group Inc | Family Medicine | Current |
Accepting new patients |
| TMC Immediate Care, Inc | Current |
Accepting new patients | |
| The Medical Center of Central Georgia Inc | Past | Accepting new patients | |
| Health Services of Central Georgia, Inc | Family Medicine | Past |
Accepting new patients |
Locations
1480 S Highway 27
Carrollton, GA 30117
Phone (770) 812-9445
706 Dixie St
Ste 220
Carrollton, GA 30117
Phone (770) 812-8825
690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646
101 Quartz Dr
Ste 101
Villa Rica, GA 30180
Phone (770) 836-9445
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 20207QA0401X | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 009139 | GA | Yes |
Addresses
Primary practice location
3780 Eisenhower Pkwy
Macon, GA 31206-0800
Mailing address
3780 Eisenhower Pkwy
Macon, GA 31206-0800
Phone (478) 633-5550
Other providers in Macon, GA
- Abundant Care Transportation, LLC
- Abundant Health Care Agency
- Accel Wellness Center, LLC
- Accommodate Medical Staffing, LLC
- Ace Medical Transport LLC.
- Richard Ackermann
- Act Now Healthcare
- Jamie Hopkins Adair
- Sarah Adam
- Ashley Adams
All providers in Macon, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2019. 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.