Individual provider Active NPI

Jason R Casey, FNP

  • Nurse Practitioner
  • Snellville, GA
National Provider Identifier
1003291378
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN276837 Issued in GA
Practice address
1557 Janmar Rd
Snellville, GA 30078-5686
Phone
(678) 344-8900
Fax
(678) 666-5201
NPI assigned
Jul 28, 2015
Last updated
Jan 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 20223 TN
Acute Care Nurse Practitioner 363LA2100X 5007870 NC
Family Nurse Practitioner 363LF0000X 20223 TN
Family Nurse Practitioner 363LF0000X 5007870 NC
Family Nurse Practitioner 363LF0000X 281623 NC
Nurse Practitioner 363L00000X RN276837 GA Primary

Addresses

Primary practice location

1557 Janmar Rd
Snellville, GA 30078-5686

Mailing address

1557 Janmar Rd
Snellville, GA 30078-5686
Phone (678) 344-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190311001373 GA Practitioner - Nurse Practitioner 0749590461
I20190813001861 OH Practitioner - Nurse Practitioner 0749590461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

525 E Market St
Akron, OH 44304-1619

95 Arch St
Suite 165
Akron, OH 44304-1488
Phone (330) 374-1255

95 Arch St
Suite 215
Akron, OH 44304-1467
Phone (330) 434-4145

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
20223TNMDAcute Care Nurse Practitioner
5007870NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC Nurse Practitioner CurrentSince May 28, 2019 Accepting new patients
Advanced Urology Institute of Georgia, LLC CurrentSince Jan 28, 2019 Accepting new patients
Summa Physicians LLC Current Accepting new patients
Advanced Urology Institute of Georgia, LLC CurrentSince Jan 28, 2019 Accepting new patients
Summa Physicians LLC CurrentSince May 28, 2019 Accepting new patients
Advanced Urology Institute of Georgia, LLC Current Accepting new patients
Summa Physicians LLC Past Accepting new patients

Locations

1557 Janmar Rd
Snellville, GA 30078
Phone (404) 348-4421

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

95 Arch St
Ste 165
Akron, OH 44304
Phone (330) 374-1180

201 5th St NE
Ste 3
Barberton, OH 44203
Phone (330) 374-1255

1700 Boettler Rd
Ste 150
Green, OH 44685
Phone (330) 896-4041

3780 Medina Rd
Ste 250
Medina, OH 44256
Phone (330) 253-1800

3825 Fishcreek Rd
Ste 200
Stow, OH 44224
Phone (234) 312-5656

195 Wadsworth Rd
Wadsworth, OH 44281
Phone (330) 331-1000

Interoperability endpoints

  • Direct secure messaging: jcasey22369@summahealth-direct.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1003291378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1557 JANMAR RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785686",
            "telephone_number": "678-344-8900",
            "fax_number": "678-666-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1557 JANMAR RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785686",
            "telephone_number": "678-344-8900",
            "fax_number": "678-666-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "JASON",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-28",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "20223",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "5007870",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20223",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007870",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "281623",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN276837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

Verify at the official NPI Registry.