Active NPI
Jennifer Miller Rafus, M.S., FNP, LIC. AC.
- Family Nurse Practitioner
- Waycross, GA
National Provider Identifier
1114007630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN235259
- Practice address
- 615A Pendleton St
Waycross, GA 31501-4724 - Phone
- (912) 548-0710
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN235259 | GA | |
| Family Nurse Practitioner | 363LF0000X | RN235259 | GA | Primary |
Addresses
Primary practice location
615A Pendleton St
Waycross, GA 31501-4724
Mailing address
615A Pendleton St
Waycross, GA 31501-4724
Phone (912) 548-0710
Other names 1
- Jennifer Miller Perry
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.64 of 100
- Quality
- 92.57
- Improvement activities
- 40
- Cost
- 75.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Satilla Rheumatology and Internal Medicine, PC | Current | Accepting new patients | |
| Memorial Satilla Specialists, LLC | Current | Accepting new patients | |
| Mayo Clinic Health System in Waycross, Inc. | Current | Accepting new patients | |
| Integrated Regional Laboratories Pathology Services, LLC | Current | Accepting new patients | |
| Lahey Clinic, Inc. | Past | Accepting new patients | |
| Lahey Clinic, Inc | Past | Accepting new patients | |
| Mass General Brigham Medical Group Northern Massachusetts Inc | Past | Accepting new patients |
Locations
223 Bay St
Baxley, GA 31513
Phone (912) 548-0710
316 Shirley Ave
Douglas, GA 31533
Phone (912) 383-0815
615 Pendleton St
Ste A
Waycross, GA 31501
Phone (912) 548-0710
1921 Alice St
Ste 4B
Waycross, GA 31501
Phone (912) 285-5690
Interoperability endpoints
- jennifer.rafus.p1@direct.satillarheum.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://fhir4.healow.com/fhir/r4/DGICDD/Endpoint/DGICDD
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.
-
- Multi-Specialty Clinic/Center
- Waycross, GA
- NPI 1154745982
-
- General Practice Physician
- Waycross, GA
- NPI 1295266955
-
- Specialist
- Waycross, GA
- NPI 1871823302
-
- Anatomic Pathology & Clinical Pathology Physician
- Atlantis, FL
- NPI 1942526298
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
- Internal Medicine Physician
- Burlington, MA
- NPI 1538194980
-
- Emergency Medicine Physician
- Salem, MA
- NPI 1588606123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516579200000",
"number": "1114007630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615A PENDLETON ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315014724",
"telephone_number": "912-548-0710",
"fax_number": "912-548-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615A PENDLETON ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315014724",
"telephone_number": "912-548-0710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFUS",
"first_name": "JENNIFER",
"middle_name": "MILLER",
"name_prefix": "Mrs.",
"credential": "M.S., FNP, LIC. AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2018-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "RN235259",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN235259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "PERRY",
"middle_name": "MILLER",
"credential": "M.S.FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waycross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.