Active NPI
Jenna Nabors McDonald, CPNP
- Pediatric Nurse Practitioner
- Douglasville, GA
National Provider Identifier
1992059505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN226556
- Practice address
- 9280 Highway 5
Suite a
Douglasville, GA 30134-1501 - Phone
- (770) 942-5863
- NPI assigned
- Nov 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN226556 | GA | Primary |
Addresses
Primary practice location
9280 Highway 5
Suite a
Douglasville, GA 30134-1501
Mailing address
9280 Highway 5
Douglasville, GA 30134-1501
Phone (205) 281-6655
Other names 1
- Jenna Leah Nabors
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN226556 | GA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas Pediatrics Associates Inc. P.C. | Current | Accepting new patients |
Locations
9280 Highway 5
Ste A
Douglasville, GA 30134
Phone (770) 949-2250
Interoperability endpoints
- jenna.mcdonald@gadirect.net
Organizations & group practices 1
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.
-
dba d.b.a. Sand Hill Pediatrics
- Pediatrics Physician
- Douglasville, GA
- NPI 1679797161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353628800000",
"number": "1992059505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9280 HIGHWAY 5",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301341501",
"telephone_number": "205-281-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9280 HIGHWAY 5",
"address_2": "SUITE A",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301341501",
"telephone_number": "770-942-5863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "JENNA",
"middle_name": "NABORS",
"name_prefix": "Mrs.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-05",
"last_updated": "2012-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "GA",
"license": "RN226556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNA",
"last_name": "NABORS",
"middle_name": "LEAH",
"credential": "CPNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.