Individual provider Active NPI

Jennifer Clifton, AGPCNP-BC

  • Family Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1104234749
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN218993 Issued in GA
Practice address
95 Skidaway Island Park Rd
Savannah, GA 31411
Phone
(304) 633-2029
NPI assigned
Jul 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X RN218993 GA
Family Nurse Practitioner 363LF0000X RN218993 GA Primary

Addresses

Primary practice location

95 Skidaway Island Park Rd
Savannah, GA 31411

Mailing address

1845 Branden Way
Richmond Hill, GA 31324-6291
Phone (304) 633-2029

Other practice location 1

340 Eisenhower Dr
#1200
Savannah, GA 31406-1600
Phone (912) 443-4200

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
I20150127001818 GA Practitioner - Nurse Practitioner 5193049989 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN218993GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Savannah, LLC CurrentSince Oct 19, 2014 Accepting new patients
Uhs of Savannah LLC CurrentSince Oct 19, 2014 Accepting new patients
Optim Orthopedics, LLC PastSince Oct 6, 2019 Accepting new patients
Optim Orthopedics, LLC Past Accepting new patients

Locations

633 Stephenson Ave
Savannah, GA 31405
Phone (912) 351-3590

1150 Cornell Ave
Savannah, GA 31406
Phone (912) 354-3911

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1104234749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 BRANDEN WAY",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313246291",
            "telephone_number": "304-633-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 SKIDAWAY ISLAND PARK RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31411",
            "telephone_number": "304-633-2029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Eisenhower Dr",
            "address_2": "#1200",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314061600",
            "country_code": "US",
            "telephone_number": "912-443-4200",
            "fax_number": "912-355-8124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLIFTON",
        "first_name": "JENNIFER",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "RN218993",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN218993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.