Individual provider Active NPI

James Aaron Houser, FNP-C

  • Nurse Practitioner
  • Waycross, GA
National Provider Identifier
1063188324
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN260636 Issued in GA
Practice address
1206 Alice St
Waycross, GA 31501-4525
Phone
(912) 285-1140
Fax
(912) 285-1125
NPI assigned
Aug 17, 2021
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN260636 GA Primary

Addresses

Primary practice location

1206 Alice St
Waycross, GA 31501-4525

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (239) 432-8331

Other practice location 1

5742 Booth Rd Ste A
Jacksonville, FL 32207-5982
Phone (904) 739-7779

Other practice location 2

14546 Old Saint Augustine Rd Ste 317
Jacksonville, FL 32258-5472
Phone (904) 260-9445

Other practice location 3

7015 A C Skinner Pkwy Bldg 100
Jacksonville, FL 32256-6932
Phone (904) 516-3737

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Waycross

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220208001511 GA Practitioner - Nurse Practitioner 2264825686 Reassigns benefits to 1 organization
I20241009002108 FL Practitioner - Nurse Practitioner 2264825686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cancer Specialists LLCGroup PAC ID 9133377948, 46 clinicians

Practice addresses (Care Compare)

14546 Old Saint Augustine Rd
Jacksonville, FL 32258-5468
Phone (904) 260-9445

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN260636GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Oncology Partners PA Nurse Practitioner CurrentSince Apr 1, 2022 Accepting new patients
Cancer Specialists, LLC CurrentSince Aug 31, 2024 Accepting new patients
Cancer Specialists, LLC CurrentSince Aug 31, 2024 Accepting new patients

Locations

14546 Old St Augustine Rd
Ste 317
Jacksonville, FL 32258
Phone (904) 260-9445

5742 Booth Rd
Ste A
Jacksonville, FL 32207
Phone (904) 739-7779

7015 A C Skinner Pkwy
Bldg 100
Jacksonville, FL 32256
Phone (904) 516-3737

7751 Belfort Pkwy
Ste 350
Jacksonville, FL 32256
Phone (904) 363-7453

1111 Glynco Pkwy
Ste 35
Brunswick, GA 31525
Phone (912) 304-7013

1206 Alice St
Waycross, GA 31501
Phone (912) 285-1140

1706 Alice St
Waycross, GA 31501
Phone (912) 283-6240

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 1

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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1063188324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "239-432-8331",
            "fax_number": "831-321-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 ALICE ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014525",
            "telephone_number": "912-285-1140",
            "fax_number": "912-285-1125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5742 Booth Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322075982",
            "country_code": "US",
            "telephone_number": "904-739-7779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14546 Old Saint Augustine Rd Ste 317",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322585472",
            "country_code": "US",
            "telephone_number": "904-260-9445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7015 A C Skinner Pkwy Bldg 100",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322566932",
            "country_code": "US",
            "telephone_number": "904-516-3737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUSER",
        "first_name": "JAMES",
        "middle_name": "AARON",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN260636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Waycross",
            "affiliation": "N",
            "address_1": "1706 Alice St",
            "city": "Waycross",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315015216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

Verify at the official NPI Registry.