Individual provider Active NPI

Stephanie Nicole Jinright, NP-C

  • Family Nurse Practitioner
  • Dalton, GA
National Provider Identifier
1225635824
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN276208 Issued in GA
Practice address
1411 Chattanooga Ave
Dalton, GA 30720-2673
Phone
(706) 272-0272
NPI assigned
Oct 6, 2020
Last updated
Oct 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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 RN276208 GA Primary

Addresses

Primary practice location

1411 Chattanooga Ave
Dalton, GA 30720-2673

Mailing address

1411 Chattanooga Ave
Dalton, GA 30720-2673
Phone (706) 272-0272

Other names 1

  • Stephanie Nicole Powell Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahmad@ccd.gwaydirect.com

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
I20210716000755 GA Practitioner - Nurse Practitioner 7113329814 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
Cardiology Center of Dalton PCGroup PAC ID 3678665270, 2 clinicians

Practice addresses (Care Compare)

1411 Chattanooga Ave
Suite 101
Dalton, GA 30720-2673
Phone (706) 272-0272

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Center of Dalton PC CurrentSince Jul 9, 2021 Accepting new patients

Locations

1411 Chattanooga Ave
Dalton, GA 30720
Phone (706) 226-1530

1411 Chattanooga Ave
Ste 101
Dalton, GA 30720
Phone (706) 272-0272

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.422

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1225635824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 CHATTANOOGA AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202673",
            "telephone_number": "706-272-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 CHATTANOOGA AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202673",
            "telephone_number": "706-272-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JINRIGHT",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN276208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahmad@ccd.gwaydirect.com",
            "affiliation": "N",
            "address_1": "1411 Chattanooga Ave",
            "city": "Dalton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "307202673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "POWELL",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.