Individual provider Active NPI

Emilia Grace Janney, NP

  • Nurse Practitioner
  • Carrollton, GA
National Provider Identifier
1003540147
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN250441 Issued in GA
Practice address
527 Tanner St
Carrollton, GA 30117-3318
Phone
(770) 537-1234
Fax
(770) 537-1237
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN250441 GA
Nurse Practitioner 363L00000X 1-196405 AL
Nurse Practitioner 363L00000X RN250441 GA Primary

Addresses

Primary practice location

527 Tanner St
Carrollton, GA 30117-3318

Mailing address

1470 County Road 473
Newell, AL 36280-4713
Phone (404) 670-4944

Other practice location 1

21178 Main St
Ranburne, AL 36273-4210
Phone (938) 526-0010

Other identifiers 1

IdentifierTypeStateIssuer
1861915647OtherGAGROUP NPI

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
I20220819002457 GA Practitioner - Nurse Practitioner 1951784198 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-196405ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
3:16 Urgent Care LLC CurrentSince Jan 14, 2026 Accepting new patients

Locations

1009 Alabama Ave S
Bremen, GA 30110
Phone (678) 821-1660

820 Maple St
Carrollton, GA 30117
Phone (678) 390-7900

Interoperability endpoints

  • Direct secure messaging: emilia.janney.1@22071.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1003540147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 COUNTY ROAD 473",
            "city": "NEWELL",
            "state": "AL",
            "postal_code": "362804713",
            "telephone_number": "404-670-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 TANNER ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173318",
            "telephone_number": "770-537-1234",
            "fax_number": "770-537-1237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21178 Main St",
            "address_purpose": "LOCATION",
            "city": "Ranburne",
            "state": "AL",
            "postal_code": "362734210",
            "country_code": "US",
            "telephone_number": "938-526-0010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANNEY",
        "first_name": "EMILIA",
        "middle_name": "GRACE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN250441",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-196405",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN250441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1861915647",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.