Active NPI
Jarrod Woomer
- Psychiatric/Mental Health Registered Nurse
- Atlanta, GA
National Provider Identifier
1053029645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- RN300772
- Practice address
- 25 Vernon Glen CT
Atlanta, GA 30338-5421 - Phone
- (678) 740-4403
- NPI assigned
- Nov 11, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN300772 | GA | Primary |
Addresses
Primary practice location
25 Vernon Glen CT
Atlanta, GA 30338-5421
Mailing address
25 Vernon Glen CT
Atlanta, GA 30338-5421
Phone (678) 740-4403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN300772 | GA | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668124800000",
"number": "1053029645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 VERNON GLEN CT",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303385421",
"telephone_number": "678-740-4403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 VERNON GLEN CT",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303385421",
"telephone_number": "678-740-4403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOMER",
"first_name": "JARROD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-11",
"last_updated": "2022-11-11",
"certification_date": "2022-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "GA",
"license": "RN300772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.