Jessica Logue

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN258772 Issued in GA

Practice address

791 Poplar St
Macon, GA 31201-2045

Phone

(478) 755-8838

NPI assigned

Jun 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Georgia Gastroenterology, LLCGroup PAC ID 9739367459, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CCFDAA/Endpoint/CCFDAA

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.

• Central Georgia Gastroenterology, LLC

  • Specialist
  • Macon, GA
  • NPI 1285925941
  Medicare reassignment Care Compare group NPD
• Middle Georgia Gastroenterology

  • Specialist
  • Macon, GA
  • NPI 1689885253
  NPD (past)
• Middle Georgia Medical Associates, P.C.

  • Pulmonary Disease Physician
  • Warner Robins, GA
  • NPI 1992751911
  NPD (past)
• Primary Pediatrics, PC

  • Specialist
  • Macon, GA
  • NPI 1477638575
  NPD (past)

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

• The Medical Center of Central Georgia Inc

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1043270564
  Care Compare affiliation

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

{
    "created_epoch": "1593302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1124645981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 POPLAR ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012045",
            "telephone_number": "478-755-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 POPLAR ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012045",
            "telephone_number": "478-755-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGUE",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-28",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "GA",
            "license": "RN258772",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN258772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamieka Danniel Loftley, LPC
• Asia Brianna Logan, PHARMD
• James J Logan, MD
• Lynda Jean Logan, R.N.
• Wendy Logan, M.ED., CCC-SLP
• Lawrence William Logue, R.PH.
• Sameer Lohana, M.D.
• Lokey Chiropractic Clinic PC
• Robert L Lokey, DC
• Timothy Longaker, MD

• Family Nurse Practitioner in Macon, GA
• Providers in Macon, 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 Jul 22, 2020; 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.