Individual provider Active NPI

Jacob Aaron Cashdollar

  • Family Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1205658762
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
GAA-NP003136 Issued in GA
Practice address
1447 Harper St Ste 3E
Augusta, GA 30912-0020
Phone
(706) 721-6130
Fax
(706) 721-4920
NPI assigned
Oct 28, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11036053 FL
Family Nurse Practitioner 363LF0000X GAA-NP003136 GA Primary

Addresses

Primary practice location

1447 Harper St Ste 3E
Augusta, GA 30912-0020

Mailing address

1120 15TH St
Augusta, GA 30912-0020
Phone (706) 721-6130

Other practice location 1

14048 Fenwood Ct
Estero, FL 33928-9151
Phone (631) 816-3626

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcashdollar621128@directwellstar.org

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
I20260324000347 GA Practitioner - Nurse Practitioner 9739663246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 670747
Marietta, GA 30066

PO Box
Suite 670747
Marietta, GA 30066-0130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11036053FLMDFamily Nurse Practitioner
GAA-NP003136GAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: jcashdollar621128@directwellstar.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1205658762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120020",
            "telephone_number": "706-721-6130",
            "fax_number": "706-721-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 HARPER ST STE 3E",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120020",
            "telephone_number": "706-721-6130",
            "fax_number": "706-721-4920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14048 Fenwood Ct",
            "address_purpose": "LOCATION",
            "city": "Estero",
            "state": "FL",
            "postal_code": "339289151",
            "country_code": "US",
            "telephone_number": "631-816-3626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASHDOLLAR",
        "first_name": "JACOB",
        "middle_name": "AARON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-28",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11036053",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP003136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcashdollar621128@directwellstar.org",
            "affiliation": "N",
            "address_1": "1447 Harper St Ste 3E",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309120020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.