Individual provider Active NPI

Jennifer F. Harrison, FNP-C

  • Family Nurse Practitioner
  • Swainsboro, GA
National Provider Identifier
1942390109
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R157099 Issued in GA
Practice address
50 Highway 56 North
Swainsboro, GA 30401-4441
Phone
(478) 237-7501
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R157099 GA Primary

Addresses

Primary practice location

50 Highway 56 North
Swainsboro, GA 30401-4441

Mailing address

PO Box 436
50 Highway 56 North
Swainsboro, GA 30401-0436
Phone (478) 237-7501

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141219000520 GA Practitioner - Nurse Practitioner 1951624162 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

50 Hwy 56 N
Swainsboro, GA 30401
Phone (478) 237-7501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R157099GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jenkins County Health Department CurrentSince Feb 4, 2023 Accepting new patients
Jenkins County Health Department CurrentSince Feb 4, 2023 Accepting new patients
Emanuel County Board of Health CurrentSince May 1, 2019 Accepting new patients
Emanuel County Board of Health CurrentSince May 1, 2019 Accepting new patients
Screven County Health Department CurrentSince Feb 3, 2023 Accepting new patients
Screven County Health Department PastSince Feb 3, 2023 Accepting new patients

Locations

709 Virginia Ave
Millen, GA 30442
Phone (478) 982-2811

50 GA Highway 56 N
Swainsboro, GA 30401
Phone (478) 237-7501

416 Pine St
Sylvania, GA 30467
Phone (912) 564-2182

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1942390109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 436",
            "address_2": "50 HIGHWAY 56 NORTH",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304010436",
            "telephone_number": "478-237-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HIGHWAY 56 NORTH",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304014441",
            "telephone_number": "478-237-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "JENNIFER",
        "middle_name": "F.",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "R157099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swainsboro, GA

Sources for this page

Verify at the official NPI Registry.