Individual provider Active NPI

Jennifer Nicole Oliver, NP-C

  • Family Nurse Practitioner
  • Ellabell, GA
National Provider Identifier
1083387476
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN216359 Issued in GA
Practice address
54 Mountain View Dr
Ellabell, GA 31308-6812
Phone
(912) 655-0788
NPI assigned
Jul 30, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chatham Orthopaedic Associates PA 55 clinicians
Effingham Orthopedic Practice, LLC 23 clinicians

Practice addresses (Care Compare)

4425 Paulsen St
Savannah, GA 31405-3662
Phone (912) 355-6615

613 Towne Park Dr W
Suite 303 304
Rincon, GA 31326-5182
Phone (912) 355-6615

Hospital & facility affiliations

  • St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043
  • Effingham Health System Hospital, Springfield, GA, CCN 111306
  • Candler Hospital Hospital, Savannah, GA, CCN 110024

Merit-based Incentive Payment System (MIPS)

Final score
69.29 of 100Reported as group
Quality
54.82
Improvement activities
40
Cost
80.45

Merit-based Incentive Payment System (MIPS)

Final score
84 of 100Reported as group
Quality
65.06
Promoting interoperability
98
Improvement activities
40
Cost
83.28

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20230106002756 GA Practitioner - Nurse Practitioner 7911377940 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice Savannah, Inc CurrentSince Oct 1, 2022 Accepting new patients
Steward Center for Palliative Care CurrentSince Oct 1, 2022 Accepting new patients
Effingham Orthopedic Practice, LLC CurrentSince Dec 1, 2023 Accepting new patients
Chatham Orthopaedic Associates, PA CurrentSince Dec 1, 2023 Accepting new patients
Chatham Orthopaedic Associates, PA CurrentSince Dec 1, 2023 Accepting new patients
Evans Orthopedic Clinic LLC Current Accepting new patients

Locations

20 William Blakely Xing
Pooler, GA 31322

1203 Gandy Dancer
Richmond Hill, GA 31324
Phone (912) 355-6651

613 Towne Park Dr W
Ste 303
Rincon, GA 31326
Phone (912) 826-3111

613 Towne Park Dr W
Ste 303304
Rincon, GA 31326
Phone (912) 826-3111

1352 Eisenhower Dr
Savannah, GA 31406
Phone (912) 354-8014

4425 Paulsen St
Savannah, GA 31405
Phone (912) 354-5100

225 Candler Dr
Savannah, GA 31405
Phone (912) 819-8571

4425 Paulsen St
Bldg B
Savannah, GA 31405

225 Candler Dr
Ste 301
Savannah, GA 31405
Phone (912) 354-8014

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172

499 Highway 119 S
Springfield, GA 31329
Phone (912) 754-7500

Interoperability endpoints

  • Direct secure messaging: jennifer.oliver.1@18355.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN216359 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

54 Mountain View Dr
Ellabell, GA 31308-6812

Mailing address

54 Mountain View Dr
Ellabell, GA 31308-6812
Phone (912) 655-0788

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 30, 2021.

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1083387476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MOUNTAIN VIEW DR",
            "city": "ELLABELL",
            "state": "GA",
            "postal_code": "313086812",
            "telephone_number": "912-655-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MOUNTAIN VIEW DR",
            "city": "ELLABELL",
            "state": "GA",
            "postal_code": "313086812",
            "telephone_number": "912-655-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN216359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellabell, GA

Sources for this page

Verify at the official NPI Registry.