Individual provider Active NPI

Amanda Sweat Jarriel, FNP-C

  • Family Nurse Practitioner
  • Swainsboro, GA
National Provider Identifier
1174975726
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06161509 Issued in GA
Practice address
124 Victory Dr
Swainsboro, GA 30401-3235
Phone
(478) 237-5506
NPI assigned
Jul 7, 2016
Last updated
Jul 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06161509 GA Primary

Addresses

Primary practice location

124 Victory Dr
Swainsboro, GA 30401-3235

Mailing address

113 Smithcreek Dr
Statesboro, GA 30458-7847
Phone (478) 494-4447

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160922001467 GA Practitioner - Nurse Practitioner 7214224054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

120 A Victory Dr
Swainsboro, GA 30401-3235
Phone (478) 237-3291

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F06161509GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emanuel County Hospital Authority Current Accepting new patients
Emanuel County Hospital Authority CurrentSince Aug 1, 2016 Accepting new patients
Emanuel County Hospital Authority CurrentSince Aug 1, 2016 Accepting new patients
Emanuel County Hospital Authority Past Accepting new patients

Locations

117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725

124 Victory Dr
Swainsboro, GA 30401
Phone (478) 237-5506

Interoperability endpoints

  • Direct secure messaging: amanda.jarriel@emcsim.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1174975726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SMITHCREEK DR",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304587847",
            "telephone_number": "478-494-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 VICTORY DR",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013235",
            "telephone_number": "478-237-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRIEL",
        "first_name": "AMANDA",
        "middle_name": "SWEAT",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F06161509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swainsboro, GA

Sources for this page

Verify at the official NPI Registry.