Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jenni Davis Wade, FNP-C

Individual provider Family Nurse Practitioner · NPI 1821473885

Mrs. Jenni Davis Wade, FNP-C is a Nurse Practitioner in Thomasville, Georgia. Qualified in 2015, 11 years ago. Practices with Ccsg, Inc, a 26-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2015
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

116 Mimosa Dr
Thomasville, GA 31792-6605
Phone: (229) 551-0083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN 197857 (GA)

Record details

NPI number1821473885
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 20, 2015
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ccsg, Inc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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