Individual provider Active NPI

Jasmine Marie Hahn, FNP

  • Nurse Practitioner
  • Brunswick, GA
National Provider Identifier
1063299865
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN292331 Issued in GA
Practice address
3025 Shrine Rd Ste 270
Brunswick, GA 31520-4785
Phone
(912) 262-2723
NPI assigned
Sep 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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 RN292331 GA Primary

Addresses

Primary practice location

3025 Shrine Rd Ste 270
Brunswick, GA 31520-4785

Mailing address

PO Box 175
Folkston, GA 31537-0175

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
I20231107001599 GA Practitioner - Nurse Practitioner 8325495732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahmed Elsharkawi MD LLCGroup PAC ID 4385781467, 7 clinicians

Practice addresses (Care Compare)

2383 3Rd St
Folkston, GA 31537-8917
Phone (912) 496-1155

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ahmed Elsharkawi MD LLC CurrentSince Sep 27, 2023 Accepting new patients

Locations

195 E Tollison St
Ste C
Baxley, GA 31513

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

3025 Shrine Rd
Brunswick, GA 31520
Phone (912) 466-7340

3025 Shrine Rd
Ste 270
Brunswick, GA 31520
Phone (912) 262-2723

2383 Third St
Folkston, GA 31537
Phone (912) 496-1155

301 Fraser Dr
Hinesville, GA 31313
Phone (912) 262-2723

330 Peachtree St
Jesup, GA 31545
Phone (912) 415-8552

823 S 1st St
Jesup, GA 31545
Phone 9122831359185

2040 Dan Proctor Dr
Ste 200
Saint Marys, GA 31558
Phone (912) 576-6376

Interoperability endpoints

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

Organizations & group practices 1

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": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1063299865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 175",
            "city": "FOLKSTON",
            "state": "GA",
            "postal_code": "315370175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 SHRINE RD STE 270",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204785",
            "telephone_number": "912-262-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "JASMINE",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN292331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.