Individual provider Active NPI

Jami Jefferson, F.N.P.-C

  • Family Nurse Practitioner
  • Dacula, GA
National Provider Identifier
1033570320
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN165408 Issued in GA
Practice address
2075 Hamilton Creek Pkwy Ste 200
Dacula, GA 30019-7285
Phone
(770) 586-0300
Fax
(770) 586-0311
NPI assigned
Mar 14, 2016
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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 RN165408 GA Primary

Addresses

Primary practice location

2075 Hamilton Creek Pkwy Ste 200
Dacula, GA 30019-7285

Mailing address

2075 Hamilton Creek Pkwy Ste 200
Dacula, GA 30019-7285
Phone (770) 586-0300

Other practice location 1

316 N Broad St
Winder, GA 30680-2150
Phone (770) 867-3400

Other practice location 2

30 Satellite Dr
Winder, GA 30680-6211
Phone (770) 586-0300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jjefferson33636@nghs.gadirect.net Direct

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
I20160407001267 GA Practitioner - Nurse Practitioner 8820396856 Reassigns benefits to 3 organizations

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
Pulmonary and Sleep Specialists of Piedmont NortheastGroup PAC ID 5698209096, 18 clinicians

Practice addresses (Care Compare)

1400 River PL
Braselton, GA 30517-5600
Phone (770) 219-6000

1404 River PL
Braselton, GA 30517-5600

1800 Tree LN
Suite 200
Snellville, GA 30078-2060
Phone 7705860300352

316 N Broad St
Winder, GA 30680-2150
Phone (770) 307-5400

597 S Enota Dr NE
Gainesville, GA 30501-2545
Phone (770) 219-7777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary and Sleep Specialists of Northeast Georgia, PC CurrentSince Mar 28, 2016 Accepting new patients
Northeast Georgia Physicians Group Inc CurrentSince Sep 30, 2019 Accepting new patients
Pulmonary and Sleep Specialists of Piedmont Northeast CurrentSince Sep 1, 2024 Accepting new patients

Locations

2075 Hamilton Creek Pkwy
Ste 200
Dacula, GA 30019
Phone (770) 586-0300

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

1800 Tree Ln
Ste 200
Snellville, GA 30078
Phone (770) 586-0300

20 Satellite Dr
Ste 200
Winder, GA 30680
Phone (678) 963-0939

30 Satellite Dr
Winder, GA 30680
Phone (770) 586-0300

30 Satellite Dr
#200
Winder, GA 30680

30 Satellite Dr
Ste 200
Winder, GA 30680
Phone (770) 586-0300

316 N Broad St
Winder, GA 30680
Phone (770) 307-5354

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JADJAA/Endpoint/JADJAA
  • Direct secure messaging: jjefferson33636@nghs.gadirect.net

Organizations & group practices 3

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 2

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": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1033570320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 HAMILTON CREEK PKWY STE 200",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197285",
            "telephone_number": "770-586-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 HAMILTON CREEK PKWY STE 200",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197285",
            "telephone_number": "770-586-0300",
            "fax_number": "770-586-0311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Winder",
            "state": "GA",
            "postal_code": "306802150",
            "country_code": "US",
            "telephone_number": "770-867-3400",
            "fax_number": "770-219-6021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Satellite Dr",
            "address_purpose": "LOCATION",
            "city": "Winder",
            "state": "GA",
            "postal_code": "306806211",
            "country_code": "US",
            "telephone_number": "770-586-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "JAMI",
        "credential": "F.N.P.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-14",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN165408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjefferson33636@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2075 Hamilton Creek Pkwy Ste 200",
            "city": "Dacula",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300197285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

Verify at the official NPI Registry.