Individual provider Active NPI

Jepthe Nkwanmen, RN

  • Wound Care Registered Nurse
  • Perry, GA
National Provider Identifier
1114898178
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
RN331501 Issued in GA
Practice address
211 Rusty Plow LN
Perry, GA 31069-9870
Phone
(478) 442-9926
NPI assigned
Sep 15, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X RN331501 GA Primary

Addresses

Primary practice location

211 Rusty Plow LN
Perry, GA 31069-9870

Mailing address

211 Rusty Plow LN
Perry, GA 31069-9870
Phone (478) 442-9926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

211 Rusty Plow LN
Perry, GA 31069-9870
Phone (478) 442-9926

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Perry Home Wound Care LLC CurrentSince Sep 28, 2025 Accepting new patients

Organizations & group practices 1

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": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1114898178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 RUSTY PLOW LN",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310699870",
            "telephone_number": "478-442-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 RUSTY PLOW LN",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310699870",
            "telephone_number": "478-442-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKWANMEN",
        "first_name": "JEPTHE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "GA",
            "license": "RN331501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, GA

Sources for this page

Verify at the official NPI Registry.