Active NPI 1871525527 Individual Practitioner Female Practitioner

Janette Walsh , NP-C

Nurse Practitioner • Gainesville, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Janette Walsh, NP-C is a certified Nurse Practitioner practicing in Gainesville, GA. With approximately 32 years of clinical experience since completing medical education in 1994, Janette Walsh delivers high-quality medical care to the local community at 974 S ENOTA DR NE.

Janette Walsh is affiliated with Metroderm, P.C. and accepts Medicare assignment.

Frequently performed procedures and clinical services include aminolevulinic acid hcl for topical administration, 10% gel, 10 mg, destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

974 S Enota Dr Ne

Gainesville, GA 305012429

Telephone 7705367546

Fax 6783432006

Associated Practice Facility / Clinic

🏢 Dermatology Associates Of Norhteast Georgia Facility NPI 1487735775

Medicare Profile & Education

Medical School

Other

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Gainesville, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +16.2 yrs vs City Avg

City Avg: 15.8 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

42 Specialists

Practicing in Gainesville, GA (3149 Statewide)

Telehealth Adoption Rate

7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Walsh (32 Years) 32 Yrs

Gainesville Specialty Average (15.8 Years) 15.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	7,800	26	$3.22	$1.68
17003 Destruction of precancer skin growth, 2-14 growths	570	144	$21.00	$5.18
99213 Established patient office or other outpatient visit, typically 15 minutes	454	348	$275.00	$73.83
17000 Destruction of skin growth	297	221	$206.00	$39.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	118	$388.00	$104.60
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	104	77	$379.00	$76.57
17110 Destruction of up to 14 skin growths	90	77	$349.00	$73.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	64	$171.00	$45.65
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	53	43	$317.00	$59.40
11102 Tangential biopsy of single skin lesion	52	52	$315.00	$62.98
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	47	33	$425.00	$86.53
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	44	34	$381.00	$78.21
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	29	21	$428.00	$95.69
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	28	21	$435.00	$102.19
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	23	21	$361.00	$73.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$340.00	$90.22
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	14	$481.00	$119.90
96574 Application of light with debridement to destroy precancer skin growth	17	14	$882.00	$213.61
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	14	13	$1314.00	$340.04
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	13	13	$1230.00	$314.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	7,400	22	$3.22	$1.63
17003 Destruction of precancer skin growth, 2-14 growths	860	220	$21.00	$5.13
99213 Established patient office or other outpatient visit, typically 15 minutes	542	448	$274.80	$71.85
17000 Destruction of skin growth	396	312	$206.00	$39.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	210	167	$388.00	$102.00
17110 Destruction of up to 14 skin growths	121	105	$347.85	$75.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	91	87	$171.00	$44.63
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	87	74	$379.00	$77.66
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	80	61	$425.00	$89.18
11102 Tangential biopsy of single skin lesion	77	74	$315.00	$64.42
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	49	41	$381.00	$82.44
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	42	39	$317.00	$59.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$336.76	$89.40
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	37	35	$361.00	$74.95
96574 Application of light with debridement to destroy precancer skin growth	35	21	$882.00	$214.18
17260 Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less	30	18	$306.00	$44.50
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	29	26	$428.00	$101.70
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	22	19	$435.00	$104.25
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	17	$481.00	$119.57
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	16	15	$1314.00	$334.51
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$221.00	$57.25
11104 Punch biopsy, first skin growth	12	12	$392.00	$93.63
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	11	11	$332.00	$67.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	795	200	$38.76	$5.26
99213 Established patient office or other outpatient visit, typically 15 minutes	552	447	$184.08	$72.75
17000 Destruction of skin growth	396	297	$173.82	$39.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	237	178	$240.56	$102.88
17110 Destruction of up to 14 skin growths	157	142	$209.54	$79.67
11102 Tangential biopsy of single skin lesion	111	103	$233.83	$67.42
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	82	65	$228.38	$76.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	72	$111.36	$44.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$215.31	$90.08
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	57	46	$265.96	$91.69
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	41	38	$211.78	$76.30
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	39	32	$232.38	$86.20
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	37	27	$270.49	$96.53
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	25	23	$214.76	$59.45
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$168.32	$56.09
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	20	17	$290.05	$117.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$343.47	$134.95
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	16	15	$203.38	$55.77
69100 Biopsy of ear	13	11	$231.15	$58.84
11103 Biopsy of related skin growth, each additional growth	12	12	$130.33	$40.35
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	12	11	$1007.17	$339.06
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$510.75	$96.88
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	11	11	$770.91	$316.94
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$275.45	$96.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	782	187	$40.00	$5.08
99213 Established patient office or other outpatient visit, typically 15 minutes	507	409	$170.00	$73.79
17000 Destruction of skin growth	375	289	$170.00	$39.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	272	202	$220.00	$104.97
11102 Tangential biopsy of single skin lesion	160	149	$225.00	$71.63
17110 Destruction of up to 14 skin growths	128	117	$188.00	$80.92
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	98	69	$200.00	$80.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	93	80	$100.00	$45.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$200.00	$90.80
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	48	35	$220.00	$72.46
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	46	36	$240.00	$95.63
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	42	35	$175.00	$65.67
11103 Biopsy of related skin growth, each additional growth	28	23	$125.00	$41.77
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	27	13	$500.00	$388.87
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	25	19	$240.00	$96.96
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	25	24	$431.00	$102.81
96574 Application of light with debridement to destroy precancer skin growth	23	13	$455.00	$224.77
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	23	18	$240.00	$97.81
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$160.00	$58.64
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	20	17	$280.00	$120.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$313.00	$136.40
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	18	16	$788.00	$347.34
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	17	16	$725.00	$323.89
11104 Punch biopsy, first skin growth	16	16	$250.00	$102.54
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	13	12	$200.00	$83.02
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	11	11	$185.00	$66.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	546	143	$35.38	$4.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	242	234	$224.36	$85.83
17000 Destruction of skin growth	235	209	$167.82	$38.22
99213 Established patient office or other outpatient visit, typically 15 minutes	164	145	$175.27	$59.22
11102 Tangential biopsy of single skin lesion	124	118	$228.69	$70.69
17110 Destruction of up to 14 skin growths	64	60	$209.02	$82.17
11103 Biopsy of related skin growth, each additional growth	46	36	$127.41	$41.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	43	$101.78	$35.58
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$167.47	$60.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$239.13	$87.05
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	28	26	$206.11	$82.15
96574 Application of light with debridement to destroy precancer skin growth	13	11	$557.60	$207.13
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	11	$587.17	$224.03
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	12	12	$240.00	$92.77
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$459.55	$95.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	837	208	$34.70	$4.56
17000 Destruction of skin growth	365	306	$168.64	$39.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	344	325	$222.48	$88.83
99213 Established patient office or other outpatient visit, typically 15 minutes	338	274	$172.74	$60.69
11102 Tangential biopsy of single skin lesion	131	119	$219.08	$69.81
17110 Destruction of up to 14 skin growths	99	92	$203.96	$77.02
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	78	57	$203.56	$75.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	65	$102.11	$36.53
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	37	31	$175.00	$59.03
11103 Biopsy of related skin growth, each additional growth	37	35	$127.40	$43.16
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	35	32	$240.00	$93.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$238.95	$89.45
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	32	31	$222.18	$87.02
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$171.97	$62.63
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	23	21	$200.00	$79.38
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	19	15	$246.26	$104.22
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	15	14	$880.70	$352.31
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	12	$460.51	$101.45
11104 Punch biopsy, first skin growth	13	13	$245.95	$95.95
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	13	13	$748.33	$325.43
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$249.50	$116.08
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	11	11	$280.00	$128.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	972	236	$27.96	$4.12
17000 Destruction of skin growth	465	363	$144.54	$38.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	453	414	$178.98	$85.15
99213 Established patient office or other outpatient visit, typically 15 minutes	354	281	$137.83	$57.61
11100 Biopsy of single growth of skin and/or tissue	165	157	$193.83	$73.16
17110 Destruction of up to 14 skin growths	163	148	$188.00	$78.19
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	140	88	$140.71	$51.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	131	118	$85.35	$34.36
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	73	61	$168.05	$76.97
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	57	46	$143.32	$59.45
99202 New patient office or other outpatient visit, typically 20 minutes	52	52	$140.12	$59.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$200.00	$85.56
11101 Biopsy of each additional growth of skin and/or tissue	37	30	$97.51	$25.97
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	30	26	$175.20	$73.17
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	27	26	$788.00	$328.39
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	21	$431.00	$97.43
99201 New patient office or other outpatient visit, typically 10 minutes	20	20	$89.60	$34.95
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	19	15	$187.16	$74.98
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	18	18	$1050.00	$374.60
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	18	15	$204.22	$70.66
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	15	15	$208.00	$109.88
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	14	14	$725.00	$298.57
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	12	$563.00	$106.75
69100 Biopsy of ear	12	12	$219.00	$65.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	974	241	$25.00	$4.38
17000 Destruction of skin growth	453	351	$138.00	$37.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	386	340	$163.00	$84.99
99213 Established patient office or other outpatient visit, typically 15 minutes	339	281	$131.00	$57.69
11100 Biopsy of single growth of skin and/or tissue	294	258	$188.00	$71.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	158	137	$81.00	$34.12
17110 Destruction of up to 14 skin growths	153	125	$188.00	$81.26
99202 New patient office or other outpatient visit, typically 20 minutes	103	103	$138.00	$59.00
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	99	74	$125.00	$53.11
11101 Biopsy of each additional growth of skin and/or tissue	91	63	$94.00	$26.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	85	12	$5.00	$1.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$200.00	$85.68
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	45	38	$1050.00	$373.93
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	44	33	$156.00	$77.37
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	43	39	$131.00	$50.98
96900 Application of ultraviolet light to skin	41	12	$81.00	$15.66
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	30	28	$563.00	$106.75
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	27	25	$169.00	$83.15
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	26	23	$431.00	$97.10
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	26	25	$788.00	$315.14
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	25	25	$725.00	$285.09
11900 Injection into skin growth, 1-7 growths	15	11	$100.00	$33.39
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	15	14	$200.00	$102.93
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	12	$306.00	$69.96
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	13	13	$194.00	$73.63
10060 Simple or single drainage of skin abscess	12	12	$213.00	$92.03
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	12	12	$494.00	$111.50
69100 Biopsy of ear	12	12	$219.00	$52.33
99201 New patient office or other outpatient visit, typically 10 minutes	11	11	$88.00	$34.35

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN164556

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

621349764A (GA)

Hospital & Practice Group Affiliations

Metroderm, P.c.

974 S Enota Dr Ne, Gainesville, GA 305012429

Phone: 7705367546

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Daniel Rabb , MEDICAL DOCTOR

Dermatology

NPI 1194713016

MEDICALDOCTOR

Dr. Fiona Zwald , MD

Dermatology

NPI 1487768883

Doctor of Medicine (M.D.)

Jennifer Manry , PA-C

Physician Assistant - Medical

NPI 1861474777

Physician Assistant (Certified)

Carolyn Sironen , NP-C

Nurse Practitioner - Family

NPI 1972727204

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 03, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 03, 2015

Registered at 974 S ENOTA DR NE, GAINESVILLE, GA 305012429 (Tel: 7705367546)

📍

Updated Business Mailing Address September 03, 2015

Registered at 974 S ENOTA DR NE, GAINESVILLE, GA 305012429 (Tel: 7705367546)

👤

Provider Name / Credentials Updated September 03, 2015

Recorded as JANETTE WALSH, NP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2015

Nurse Practitioner (License #RN164556 in GA)

🟢

Initial NPI Registration & Enumeration July 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1871525527

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 06, 2006

Last Update: September 03, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

974 S Enota Dr Ne

Gainesville, GA 305012429

Phone: 7705367546

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.