Individual provider Active NPI

Jamie Lynn Harrelson, FNP

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1003338195
Registry record updated Jul 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN190897 Issued in GA
Practice address
4061 Vineville Ave
Macon, GA 31210-5039
Phone
(478) 757-7345
NPI assigned
Jul 11, 2017
Last updated
Jul 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN190897 GA Primary

Addresses

Primary practice location

4061 Vineville Ave
Macon, GA 31210-5039

Mailing address

616 Windsong Way CT
Macon, GA 31217-2805
Phone (478) 972-2152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190306000527 GA Practitioner - Nurse Practitioner 5890034078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lesley Jill Cown MD LLCGroup PAC ID 6002042223, 3 clinicians

Practice addresses (Care Compare)

4061 Vineville Ave
Macon, GA 31210-5039
Phone (478) 757-0221

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN190897GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lesley Jill Cown, M.D., L.L.C. CurrentSince Nov 13, 2019 Accepting new patients
Sleep Practitioners, LLC Past Accepting new patients

Locations

4061 Vineville Ave
Macon, GA 31210
Phone (478) 757-0221

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CACGAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/CJEFAA/Endpoint/CJEFAA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499731200000",
    "number": "1003338195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 WINDSONG WAY CT",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312172805",
            "telephone_number": "478-972-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4061 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105039",
            "telephone_number": "478-757-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELSON",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2017-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN190897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.