Active NPI
Jimmie Sue Sasser, ATC
- Athletic Trainer
- Dublin, GA
National Provider Identifier
1124233374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT 000352
- Practice address
- 1235 Jasmine Rd
Dublin, GA 31021-0841 - Phone
- (912) 583-2020
- NPI assigned
- May 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT 000352 | GA | Primary |
Addresses
Primary practice location
1235 Jasmine Rd
Dublin, GA 31021-0841
Mailing address
129 South Railroad Avenue
Post Office Box 411
Mt. Vernon, GA 30445
Phone (912) 583-2020
Other names 1
- Jimmie Sue Wimber
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT 000352 | GA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Center LLC | Current | Accepting new patients | |
| Million Pines Personal Care Home, LLC | Current | Accepting new patients | |
| Duncan McRae House, Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Assisted Living Facility
- Mt. Vernon, GA
- NPI 1982819124
-
- Assisted Living Facility
- Statesboro, GA
- NPI 1326766148
-
- Adult Day Care Clinic/Center
- Soperton, GA
- NPI 1255168811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1124233374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 SOUTH RAILROAD AVENUE",
"address_2": "POST OFFICE BOX 411",
"city": "MT. VERNON",
"state": "GA",
"postal_code": "30445",
"telephone_number": "912-583-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 JASMINE RD",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310210841",
"telephone_number": "912-583-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SASSER",
"first_name": "JIMMIE SUE",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "AT 000352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JIMMIE SUE",
"last_name": "WIMBER",
"credential": "ATC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.