Jill Melaine Patrick, NP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

RN128940 Issued in GA

Practice address

50 Plaza Way NW Ste E
Marietta, GA 30060-1141

Phone

(770) 732-5101

Fax

(770) 974-3955

NPI assigned

Feb 13, 2012

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 identifiers 1

Other names 1

• Jill Melanie Morris Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Marietta Neonatology, P.C.

  • Neonatal-Perinatal Medicine Physician
  • Marietta, GA
  • NPI 1679730501
  NPD (past)
• Marietta Newborn Care LLC

  • Neonatal Nurse Practitioner
  • Marietta, GA
  • NPI 1083871339
  NPD (past)

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114290764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4295 COUNTRY GARDEN WALK NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301522399",
            "telephone_number": "770-235-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PLAZA WAY NW STE E",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601141",
            "telephone_number": "770-732-5101",
            "fax_number": "770-974-3955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 Campbell Hill St NW Ste 420",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300601138",
            "country_code": "US",
            "telephone_number": "470-956-3863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "JILL",
        "middle_name": "MELAINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "GA",
            "license": "RN128940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003130618A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "MORRIS",
            "middle_name": "MELANIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pathway Medical Solutions
• Pathway Outpatient Services, LLC
• Hemakshi Patidar, DMD
• Porsche Patil, APRN, ANP-BC, PMHNP
• Erin Nolan Patrick, MS, OTR/L
• Tane Marie Patrono, FNP-C
• Cara Patterson Robison, O.D.
• Craig Marschall Patterson, M.D.
• Frank Patterson, D.C.
• Morgan Alyssa Patterson

• Neonatal Nurse Practitioner in Marietta, GA
• Providers in Marietta, GA by specialty
• Neonatal Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.