Individual provider Active NPI

Jennifer Lynn Kamrass, APRN, FNP-C

  • Family Nurse Practitioner
  • Alpharetta, GA
National Provider Identifier
1083217038
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
315528 Issued in GA
Practice address
3905 Brookside Pkwy Ste 300
Alpharetta, GA 30022-4458
Phone
(770) 442-1911
Fax
(770) 442-0306
NPI assigned
Nov 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 315528 GA Primary
Family Nurse Practitioner 363LF0000X 53-79642-102 KS
Family Nurse Practitioner 363LF0000X 2020037161 MO

Addresses

Primary practice location

3905 Brookside Pkwy Ste 300
Alpharetta, GA 30022-4458

Mailing address

3905 Brookside Pkwy Ste 300
Alpharetta, GA 30022-4458
Phone (770) 442-1911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, GA2 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
I20201222003054 KS Practitioner - Nurse Practitioner 4688086382 Reassigns benefits to 1 organization
I20230206001187 GA Practitioner - Nurse Practitioner 4688086382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Kansas City, School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Medical Group, P.C.Group PAC ID 3577559673, 139 clinicians

Practice addresses (Care Compare)

3905 Brookside Pkwy
Suite 300
Alpharetta, GA 30022-4425
Phone (770) 442-1911

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
315528GAMDFamily Nurse Practitioner
53-79642-102KSMDFamily Nurse Practitioner
2020037161MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mission Medical Center, Inc. CurrentSince Jan 5, 2021 Accepting new patients
Southeast Medical Group, P.C. CurrentSince Feb 6, 2023 Accepting new patients
Shawnee Mission Medical Center, Inc. CurrentSince Jan 5, 2021 Accepting new patients
Shawnee Mission Medical Center Inc Past Accepting new patients

Locations

3905 Brookside Pkwy
Ste 300
Alpharetta, GA 30022
Phone (770) 442-9111

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

4300 Northpoint Pkwy
Ste 300
Johns Creek, GA 30022
Phone (770) 518-4406

9040 Quivira Rd
Shawnee Msn, KS 66215
Phone (913) 492-9675

Interoperability endpoints

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

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, 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": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1083217038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 BROOKSIDE PKWY STE 300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224458",
            "telephone_number": "770-442-1911",
            "fax_number": "770-442-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 BROOKSIDE PKWY STE 300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224458",
            "telephone_number": "770-442-1911",
            "fax_number": "770-442-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMRASS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "315528",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-79642-102",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020037161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.