Jaclyn C. Collins, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN208019 Issued in GA

Practice address

1155 Main St
Young Harris, GA 30582

Phone

(706) 439-6873

Fax

(706) 439-6874

NPI assigned

Nov 12, 2014

Last updated

Jan 16, 2019By the provider in NPPES

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

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Privia Medical Group of Georgia LLCGroup PAC ID 4284951542, 454 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountain Home Health Home health agency, Blairsville, GA, CCN 117095
• Union General Hospital Hospital, Blairsville, GA, CCN 110051
• Erlanger Murphy Medical Center Hospital, Murphy, NC, CCN 341328
• Chatuge Regional Hospital Hospital, Hiawassee, GA, CCN 111324

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
• Direct secure messaging: jaclyn.collins.1@8042.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Fayetteville, GA
  • NPI 1013313857
  Medicare reassignment Care Compare group NPD
• Chatuge Regional Hospital Inc

  • Critical Access Hospital
  • Hiawassee, GA
  • NPI 1326028978
  Medicare reassignment NPD
• Hillcrest Clinic, LLC

  dba Hillcrest Clinic & Imaging

  • Family Medicine Physician
  • Blairsville, GA
  • NPI 1831370188
  Medicare reassignment NPD
• Union County Hospital Authority

  dba Union General Hospital

  • General Acute Care Hospital
  • Blairsville, GA
  • NPI 1487684122
  Medicare reassignment NPD
• Trinity Primary Care LLC

  • Family Medicine Physician
  • Blairsville, GA
  • NPI 1912609504
  NPD Authorized official
• Chatuge Regional Hospital Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Hiawassee, GA
  • NPI 1982873212
  NPD
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1356907273
  NPD
• Union County Hospital Authority

  dba Tri-State Rheumatology Associates

  • Rheumatology Physician
  • Blairsville, GA
  • NPI 1427428994
  NPD
• Union County Hospital Authority

  dba Union General ENT Solutions

  • Otolaryngology Physician
  • Blairsville, GA
  • NPI 1669923744
  NPD
• Chatuge Regional Hospital Inc

  dba Chatuge Medical Group

  • Internal Medicine Physician
  • Hiawassee, GA
  • NPI 1265811962
  NPD (past)
• Wendy L Smith M.D. PC

  • Otolaryngology Physician
  • Blairsville, GA
  • NPI 1184880338
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chatuge Regional Hospital Inc

  • Critical Access Hospital
  • Hiawassee, GA
  • NPI 1326028978
  Care Compare affiliation
• Mountain HHA, LLC

  dba Mountain Home Health

  • Home Health Agency
  • Blairsville, GA
  • NPI 1851831705
  Care Compare affiliation
• Union County Hospital Authority

  dba Union General Hospital

  • General Acute Care Hospital
  • Blairsville, GA
  • NPI 1487684122
  Care Compare affiliation
• Murphy Medical Center Inc

  dba Erlanger Murphy Medical Center

  • Critical Access Hospital
  • Murphy, NC
  • NPI 1801831102
  Care Compare affiliation

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1124424536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 HOSPITAL RD",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123139",
            "telephone_number": "706-745-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MAIN ST",
            "city": "YOUNG HARRIS",
            "state": "GA",
            "postal_code": "30582",
            "telephone_number": "706-439-6873",
            "fax_number": "706-439-6874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2257 Highway 515 W",
            "address_purpose": "LOCATION",
            "city": "Blairsville",
            "state": "GA",
            "postal_code": "305123780",
            "country_code": "US",
            "telephone_number": "706-439-6860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77 Weaver Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Blairsville",
            "state": "GA",
            "postal_code": "305123136",
            "country_code": "US",
            "telephone_number": "706-439-6165",
            "fax_number": "706-745-0836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1155 Main St",
            "address_purpose": "LOCATION",
            "city": "Young Harris",
            "state": "GA",
            "postal_code": "30582",
            "country_code": "US",
            "telephone_number": "706-439-6873",
            "fax_number": "706-439-6874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JACLYN",
        "middle_name": "C.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-12",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN208019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Jean Boyle, MD
• Brasstown Internal Medicine Group
• Brooklane Therapy Services
• Halee Brown, ATC
• Deborah Lea Burrell, R.N.
• Sharman Louise Cunningham, LMT,NCBTMB
• Hanah Lauren Curtis, PTA
• Stephen Andrew Dockery, DC
• Kathleen Claire Duncanson, MS, ATC/L, OPE-C
• Early Bird Interventions

• Family Nurse Practitioner in Young Harris, GA
• Providers in Young Harris, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.

Verify at the official NPI Registry.