Active NPI
Jessi'Ca Coley, MPH, CD(DONA)
- Doula
- Riverdale, GA
National Provider Identifier
1215569843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 451 Brookview Dr Ste a
Riverdale, GA 30274-7206 - Phone
- (407) 387-0522
- NPI assigned
- Feb 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Military Health Care Provider | 171000000X | VA | ||
| Community Health Worker | 172V00000X | GA | ||
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Health & Wellness Coach | 171400000X | GA | ||
| Naturopath | 175F00000X | |||
| Customized Equipment (DME) | 332BC3200X | GA | ||
| Lay Midwife | 175M00000X | |||
| Doula | 374J00000X | VA | ||
| Nurse's Aide | 376K00000X | VA | ||
| Doula | 374J00000X | GA | Primary |
Addresses
Primary practice location
451 Brookview Dr Ste a
Riverdale, GA 30274-7206
Mailing address
PO Box 961064
Riverdale, GA 30296-7064
Phone (407) 387-0522
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New U Holistic Therapies LLC | Mental Health | Current | Accepting new patients |
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": "1581379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1215569843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 961064",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302967064",
"telephone_number": "407-387-0522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 BROOKVIEW DR STE A",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302747206",
"telephone_number": "407-387-0522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEY",
"first_name": "JESSI'CA",
"name_prefix": "Ms.",
"credential": "MPH, CD(DONA)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-11",
"last_updated": "2023-01-06",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Military Health Care Provider",
"state": "VA",
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "175M00000X",
"taxonomy_group": "",
"desc": "Midwife, Lay",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "VA",
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": "VA",
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverdale, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.