Active NPI
Jessica Elizabeth Hill, NP-C
- Nurse Practitioner
- Blue Ridge, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN216320
- Practice address
- 101 Riverstone Vis Ste 102
Blue Ridge, GA 30513-6630 - Phone
- (706) 258-4140
- Fax
- (706) 258-4141
- NPI assigned
- May 29, 2019
- Last updated
- May 29, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN216320 | GA | Primary |
Addresses
Primary practice location
101 Riverstone Vis Ste 102
Blue Ridge, GA 30513-6630
Mailing address
1835 Savoy Dr Ste 300
Atlanta, GA 30341-1071
Phone (678) 288-9555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN216320 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Northside Imaging LLC | Past | Accepting new patients |
Locations
289 S Culver St
Lawrenceville, GA 30046
Phone (404) 891-9833
555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420
Organizations & group practices 2
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.
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
GA, NC, Nurse Practitioner
-
- Diagnostic Radiology Physician
- Warner Robins, GA
- NPI 1316394976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559088000000",
"number": "1154988848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1835 SAVOY DR STE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303411071",
"telephone_number": "678-288-9555",
"fax_number": "678-288-9556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 RIVERSTONE VIS STE 102",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305136630",
"telephone_number": "706-258-4140",
"fax_number": "706-258-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "JESSICA",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-29",
"last_updated": "2019-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN216320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blue Ridge, GA
- Nyasunu Wi Hepburn, PTA
- Kayla Lynne Herendon
- Hidden Valley Medical Center Inc
- Hidden Valley Medical Center Inc (Appalachian Physicians Group)
- Highland Rivers Community Service Board
- Jennifer Marie Hillhouse, OT
- Janie Christine Hitchcock, PT
- Deborah Hodgdon, BCBA
- Nathaniel Tyler Hold, DDS
- Ronnie L Hold, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.