Individual provider Active NPI

Vickie Lynn Jumper, NP

  • Community Health Nurse Practitioner
  • Tucker, GA
National Provider Identifier
1154087997
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
License
RN190291 Issued in GA
Practice address
100 Crescent Center Pkwy Ste 395
Tucker, GA 30084-7039
Phone
(470) 354-3231
Fax
(470) 354-3131
NPI assigned
Nov 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X RN190291 GA Primary

Addresses

Primary practice location

100 Crescent Center Pkwy Ste 395
Tucker, GA 30084-7039

Mailing address

100 Crescent Center Pkwy Ste 395
Tucker, GA 30084-7039
Phone (470) 354-3231

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
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Comfort Hospice, LLC CurrentSince Nov 21, 2021 Accepting new patients

Locations

1400 Buford Hwy
Ste K4
Buford, GA 30518
Phone (470) 354-3231

100 Crescent Center Pkwy
Ste 395
Tucker, GA 30084
Phone (470) 354-3231

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": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1154087997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CRESCENT CENTER PKWY STE 395",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300847039",
            "telephone_number": "470-354-3231",
            "fax_number": "470-354-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CRESCENT CENTER PKWY STE 395",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300847039",
            "telephone_number": "470-354-3231",
            "fax_number": "470-354-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUMPER",
        "first_name": "VICKIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "GA",
            "license": "RN190291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.