MEDICARE: JENNINGS HEALTHCARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	313M00000X	Nursing Facility/Intermediate Care Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1041440001	OTHER		DME
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306847850
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JENNINGS HEALTHCARE INC

Provider Business Mailing Address
First Line	:	3235 DEANS BRIDGE ROAD
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30906
Country	:	US
Telephone Number	:	706-798-1430
Fax Number	:	706-798-4414

Provider Business Practice Location Address
First Line	:	3235 DEANS BRIDGE ROAD
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30906
Country	:	US
Telephone Number	:	706-798-1430
Fax Number	:	706-798-4414

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MR. THOMAS W PENLEY
Credential	:
Telephone Number	:	706-855-1773

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1720868748 — SAVANNAH HOLLIFIELD SEETHALER PA
Practice Location Address:

2604 PEACH ORCHARD RD STE 200
AUGUSTA, GA
30906-2406

Practice Phone: 706-922-0600
Practice Fax:

1548264047 — SANDRA ELAINE DUBOSE FNP
Practice Location Address:

1631 GORDON HWY STE 17A
AUGUSTA, GA
30906-2229

Practice Phone: 706-230-7006
Practice Fax: 762-257-7442

1477552214 — USA MEDICAL SUPPLY, INC
Practice Location Address:

3316 PERKINS RD
AUGUSTA, GA
30906-3814

Practice Phone: 706-798-7950
Practice Fax: 706-798-7656

1437159456 — WILLIAM SOUTHALL EVANS JR. M.D.
Practice Location Address:

3481 MIKE PADGETT HWY , AUGUSAT YOUTH DEVELOPMENT CAMPUS
AUGUSTA, GA
30906-3815

Practice Phone: 706-792-7587
Practice Fax: 706-792-7586

1447251731 — DR. DAVID DANIEL POPE PHARM.D., CDM
Practice Location Address:

2604 PEACH ORCHARD RD
AUGUSTA, GA
30906-2406

Practice Phone: 706-798-5645
Practice Fax: 706-798-0377

1861493181 — DR. VANESSA KIM LOONEY PHARM D
Practice Location Address:

2604 PEACH ORCHARD RD
AUGUSTA, GA
30906-2406

Practice Phone: 706-798-5645
Practice Fax: 706-798-0377

Directions to “JENNINGS HEALTHCARE INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.