Active NPI
Michael G Jump, NP
- Neonatal Nurse Practitioner
- Albany, GA
National Provider Identifier
1205342409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- RN232793
- Practice address
- 417 W 3Rd Ave
Albany, GA 31701-1943 - Phone
- (229) 312-1000
- NPI assigned
- Dec 26, 2017
- Last updated
- Dec 26, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | RN232793 | GA | Primary |
Addresses
Primary practice location
417 W 3Rd Ave
Albany, GA 31701-1943
Mailing address
500 W 3Rd Ave Ste 101
Albany, GA 31701-1900
Phone (229) 312-5802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- michael.jump.1@8478.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514246400000",
"number": "1205342409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W 3RD AVE STE 101",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011900",
"telephone_number": "229-312-5802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 W 3RD AVE",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011943",
"telephone_number": "229-312-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUMP",
"first_name": "MICHAEL",
"middle_name": "G",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-26",
"last_updated": "2017-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "GA",
"license": "RN232793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.