Individual provider Active NPI

Laura S Jernigan, FNP

  • Family Nurse Practitioner
  • Gainesville, GA
National Provider Identifier
1184220402
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
186920 Issued in GA
Practice address
1485 Jesse Jewell Pkwy NE Ste 240
Gainesville, GA 30501-3883
Phone
(678) 961-0733
NPI assigned
Dec 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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 186920 GA Primary

Addresses

Primary practice location

1485 Jesse Jewell Pkwy NE Ste 240
Gainesville, GA 30501-3883

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

2150 Limestone Pkwy Ste 222
Gainesville, GA 30501-2567
Phone (770) 219-8888

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ljenkins49024@nghs.gadirect.net Direct
Other URL tbd Other

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
I20210211000142 GA Practitioner - Nurse Practitioner 8426463175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1400 River PL
Braselton, GA 30517-5600
Phone (770) 219-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
186920GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Physicians Group Inc CurrentSince Dec 1, 2020 Accepting new patients
Neurological Center of North Georgia, LLC CurrentSince Jul 17, 2022 Accepting new patients

Locations

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

1485 Jesse Jewell Pkwy NE
Ste 240
Gainesville, GA 30501
Phone (678) 345-1888

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

2150 Limestone Pkwy
Ste 222
Gainesville, GA 30501
Phone (770) 219-0063

Interoperability endpoints

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

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 and National Provider Directory roles.

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": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1184220402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 JESSE JEWELL PKWY NE STE 240",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013883",
            "telephone_number": "678-961-0733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 Limestone Pkwy Ste 222",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305012567",
            "country_code": "US",
            "telephone_number": "770-219-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JERNIGAN",
        "first_name": "LAURA",
        "middle_name": "S",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "186920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ljenkins49024@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2150 Limestone Pkwy Ste 222",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305012567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tbd",
            "affiliation": "N",
            "endpointDescription": "tbd",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "tbd",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "tbd",
            "address_1": "460 Main St",
            "city": "Clermont",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305271805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.