Active NPI
Jared L Jarrett NP, LLC
- Nurse Practitioner
- Macon, GA
National Provider Identifier
1003324112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN198077
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryNPI 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.