Individual provider Active NPI

Jessica Price Vinson, FNP

  • Primary Care Nurse Practitioner
  • Blakely, GA
National Provider Identifier
1043101447
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN278007 Issued in GA
Practice address
360 College St
Blakely, GA 39823-2554
Phone
(229) 723-2660
Fax
(229) 723-2663
NPI assigned
Jul 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN278007 GA Primary

Addresses

Primary practice location

360 College St
Blakely, GA 39823-2554

Mailing address

5389 River Rd
Donalsonville, GA 39845-3202
Phone (229) 309-0485

Other names 1

  • Mrs. Jessica Nichole Price Former name

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
I20250830000823 GA Practitioner - Nurse Practitioner 3274034277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

454 Smith Ave
Thomasville, GA 31792-5535

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care of Southwest Georgia, Inc CurrentSince Aug 20, 2025 Accepting new patients
Primary Care of Southwest Georgia, Inc. Current Accepting new patients
Primary Care of Southwest Georgia, Inc CurrentSince Aug 20, 2025 Accepting new patients
Primary Care of Southwest Georgia, Inc. Past Accepting new patients

Locations

283 Martin Luther King Jr Blvd
Blakely, GA 39823
Phone (229) 366-0688

360 College St
Blakely, GA 39823
Phone (229) 723-2660

454 Smith Ave
Thomasville, GA 31792
Phone (229) 227-5510

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEIBAA

Organizations & group practices 4

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": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1043101447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5389 RIVER RD",
            "city": "DONALSONVILLE",
            "state": "GA",
            "postal_code": "398453202",
            "telephone_number": "229-309-0485",
            "fax_number": "229-309-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 COLLEGE ST",
            "city": "BLAKELY",
            "state": "GA",
            "postal_code": "398232554",
            "telephone_number": "229-723-2660",
            "fax_number": "229-723-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINSON",
        "first_name": "JESSICA",
        "middle_name": "PRICE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN278007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PRICE",
            "middle_name": "NICHOLE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blakely, GA

Sources for this page

Verify at the official NPI Registry.