Active NPI
Amanda Elizabeth Jasper, NP-C
- Family Nurse Practitioner
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN169616
- Practice address
- 1199 Prince Avenue
Medical Services Building, Second Floor
Athens, GA 30606 - Phone
- (706) 475-1700
- NPI assigned
- Aug 3, 2015
- Last updated
- Aug 3, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN169616 | GA | Primary |
Addresses
Primary practice location
1199 Prince Avenue
Medical Services Building, Second Floor
Athens, GA 30606
Mailing address
1199 Prince Avenue
Medical Services Building, Second Floor
Athens, GA 30606
Phone (706) 475-1700
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
242 King Ave
Suite 210
Athens, GA 30606-2966
Phone (706) 475-1700
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN169616 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Athens Specialty Care LLC | Current | Accepting new patients | |
| Piedmont Athens Hospitalist Physicians LLC | Past | Accepting new patients |
Locations
1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520
1199 Prince Ave
#2
Athens, GA 30606
1199 Prince Ave
Bldg Second
Athens, GA 30606
Phone (706) 369-5440
1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100
340 Exchange Blvd
Bethlehem, GA 30620
Phone (678) 963-7171
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.
-
- Cardiovascular Disease Physician
- Athens, GA
- NPI 1184130627
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1578079000
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Athens, GA
- NPI 1437186111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438560000000",
"number": "1164808036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1199 PRINCE AVENUE",
"address_2": "MEDICAL SERVICES BUILDING, SECOND FLOOR",
"city": "ATHENS",
"state": "GA",
"postal_code": "30606",
"telephone_number": "706-475-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1199 PRINCE AVENUE",
"address_2": "MEDICAL SERVICES BUILDING, SECOND FLOOR",
"city": "ATHENS",
"state": "GA",
"postal_code": "30606",
"telephone_number": "706-475-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASPER",
"first_name": "AMANDA",
"middle_name": "ELIZABETH",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-03",
"last_updated": "2015-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN169616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.