Organization Active NPI

Jared L Jarrett NP, LLC

  • Nurse Practitioner
  • Macon, GA
National Provider Identifier
1003324112
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN198077 Issued in GA
Legal business name
JARED L JARRETT NP, LLC
Practice address
770 Pine St Ste 560
Macon, GA 31201-7569
Phone
(478) 236-1135
NPI assigned
Jan 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Mr. Jared Lewis Jarrett, NP
Title
NP, Owner
Phone
(478) 236-1135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X RN198077 GA Primary

Addresses

Primary practice location

770 Pine St Ste 560
Macon, GA 31201-7569

Mailing address

1005 N Carmenville Dr
Bonaire, GA 31005-4221
Phone (478) 236-1135

Other names 1

  • Jared L Jarrett, NP Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1003324112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 N CARMENVILLE DR",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310054221",
            "telephone_number": "478-236-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 PINE ST STE 560",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017569",
            "telephone_number": "478-236-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED L JARRETT NP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "JARRETT",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "NP, OWNER",
        "authorized_official_telephone_number": "478-236-1135",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN198077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jared L Jarrett, NP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.