Individual provider Active NPI

Emily S Cummins, NP-C

  • Family Nurse Practitioner
  • Jasper, GA
National Provider Identifier
1205078730
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP149914 Issued in GA
Practice address
1101 Old Philadelphia Rd Ste G100
Jasper, GA 30143-4044
Phone
(678) 971-4167
Fax
(706) 253-7060
NPI assigned
Mar 30, 2009
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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 APRN-NP149914 GA Primary

Addresses

Primary practice location

1101 Old Philadelphia Rd Ste G100
Jasper, GA 30143-4044

Mailing address

1101 Old Philadelphia Rd # G100
Jasper, GA 30143-4044
Phone (678) 971-4167

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
I20091013000071 GA Practitioner - Nurse Practitioner 3678619228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1101 Old Philadelphia Rd
Suite G
Jasper, GA 30143-4069
Phone (678) 971-4167

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.64 of 100Reported as individual
Quality
93.16
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-NP149914GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Pain and Spine Associates LLC CurrentSince Jan 1, 2022 Accepting new patients
The Interventional Spine and Pain Management Center PC CurrentSince Oct 20, 2019 Accepting new patients
The Interventional Spine and Pain Management Center, PC CurrentSince Oct 20, 2019 Accepting new patients
Southern Pain and Spine Associates, LLC CurrentSince Jan 1, 2022 Accepting new patients
Southern Pain and Spine Associates LLC PastSince May 16, 2022 Accepting new patients

Locations

134 Riverstone Ter
Canton, GA 30114

15 Medical Dr NE
Ste 301
Cartersville, GA 30121
Phone (770) 590-1078

1388 Wellbrook Cir NE
#A
Conyers, GA 30012
Phone (770) 385-7985

601 Broad St SE
Ste B
Gainesville, GA 30501
Phone (678) 989-1515

1101 Old Philadelphia Rd
Ste G
Jasper, GA 30143

1101 Old Philadelphia Rd
Ste G100
Jasper, GA 30143

400 Tower Rd NE
Ste 350
Marietta, GA 30060
Phone (770) 590-1078

3231 Highway 34 E
Ste C
Newnan, GA 30265
Phone (770) 251-8940

300 Parkbrooke Pl
#390
Woodstock, GA 30189

Interoperability endpoints

  • Direct secure messaging: emily.cummins.1@22722.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22722/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 2

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": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1205078730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 OLD PHILADELPHIA RD # G100",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301434044",
            "telephone_number": "678-971-4167",
            "fax_number": "706-253-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 OLD PHILADELPHIA RD STE G100",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301434044",
            "telephone_number": "678-971-4167",
            "fax_number": "706-253-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINS",
        "first_name": "EMILY",
        "middle_name": "S",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP149914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, GA

Sources for this page

Verify at the official NPI Registry.