Individual provider Active NPI

Jada Swanson, NP

  • Family Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1033998323
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN277490 Issued in GA
Practice address
1201 18TH St
Columbus, GA 31901-1724
Phone
(706) 507-3747
Fax
(706) 507-3638
NPI assigned
Sep 26, 2023
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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 RN277490 GA Primary

Addresses

Primary practice location

1201 18TH St
Columbus, GA 31901-1724

Mailing address

5462 Whittlesey Blvd Apt 1017
Columbus, GA 31909-3049
Phone (229) 314-5567

Other practice location 1

5462 Whittlesey Blvd Apt 1017
Columbus, GA 31909-3049
Phone (229) 314-5567

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
I20250407002193 GA Practitioner - Nurse Practitioner 1557885019 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN277490GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Medicine & Urgent Care Clinic Inc. CurrentSince Dec 10, 2023 Accepting new patients
Andrew T Mecca MD PC CurrentSince Mar 1, 2025 Accepting new patients
Andrew T Mecca Urgent Care LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

1201 18th St
Columbus, GA 31901
Phone (706) 322-4950

5612 Whitesville Rd
Columbus, GA 31904
Phone (706) 322-2223

5612 Whitesville Rd
Ste A
Columbus, GA 31904
Phone (706) 322-2223

5612 Whitesville Rd
Ste B
Columbus, GA 31904
Phone (706) 322-2223

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.

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1033998323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5462 WHITTLESEY BLVD APT 1017",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093049",
            "telephone_number": "229-314-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 18TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011724",
            "telephone_number": "706-507-3747",
            "fax_number": "706-507-3638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5462 Whittlesey Blvd Apt 1017",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319093049",
            "country_code": "US",
            "telephone_number": "229-314-5567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "JADA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN277490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.