Jessica Devero Milner, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN224726 Issued in GA

Practice address

803 S Main St
Greensboro, GA 30642-1211

Phone

(706) 453-1201

Fax

(706) 453-1441

NPI assigned

Sep 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Yasmine Devero Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Convenient Care MD, LLC

  • Clinic/Center
  • Milledgeville, GA
  • NPI 1174859367
  NPD (past)
• Oconee Valley Healthcare Inc

  • Federally Qualified Health Center (FQHC)
  • Milledgeville, GA
  • NPI 1770822496
  NPD (past)

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1104476936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 S MAIN ST",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306421211",
            "telephone_number": "706-453-1201",
            "fax_number": "706-453-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 S MAIN ST",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306421211",
            "telephone_number": "706-453-1201",
            "fax_number": "706-453-1441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1040 Park Dr",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "GA",
            "postal_code": "306423466",
            "country_code": "US",
            "telephone_number": "706-534-6640",
            "fax_number": "706-400-4414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Ga Highway 22 W",
            "address_purpose": "LOCATION",
            "city": "Milledgeville",
            "state": "GA",
            "postal_code": "310616606",
            "country_code": "US",
            "telephone_number": "478-414-1414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Fieldstone Dr Ste 114",
            "address_purpose": "LOCATION",
            "city": "Milledgeville",
            "state": "GA",
            "postal_code": "310617108",
            "country_code": "US",
            "telephone_number": "478-414-1414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1041 Park Dr",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "GA",
            "postal_code": "306423465",
            "country_code": "US",
            "telephone_number": "706-453-4345",
            "fax_number": "706-453-2954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILNER",
        "first_name": "JESSICA",
        "middle_name": "DEVERO",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN224726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "DEVERO",
            "middle_name": "YASMINE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Edmund McQuillan, MD
• Medcare Physicians of Central Georgia, LLC
• Allison Joy Anders Menke, DPM
• David Clay Miller, DDS
• Michael L. Miller, D.D.S
• Jeffrey Charles Mitchell, MD
• Judith Gothard Moore
• Laura Moore
• William D Moore Jr., D.M.D
• William Frank Moore, RPH

• All providers in Greensboro, GA
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.