Jamie B Raisor, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN-NP145004 Issued in GA

Practice address

1075 Lafayette Pkwy Ste 240
Lagrange, GA 30241-3734

Phone

(770) 400-8400

NPI assigned

Jul 8, 2008

Last updated

May 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, GA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Surgical and Cosmetic Dermatology, P. C.Group PAC ID 3678711199, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jraisor@aadermaffiliates.emadirect.md

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.

• Surgical & Cosmetic Dermatology, P. C.

  • MOHS-Micrographic Surgery Physician
  • Newnan, GA
  • NPI 1396087680
  Medicare reassignment Care Compare group NPD
• Oliver Street 5.01(a) Inc.

  dba U.S. Dermatology Partners

  • Dermatology Physician
  • Dallas, TX
  • NPI 1457695413
  Medicare reassignment NPD
• Southwest Skin and Vein Center PLLC

  • Dermatology Physician
  • Austin, TX
  • NPI 1609251107
  Medicare reassignment
• Ross Dermatology

  • Dermatology Physician
  • San Antonio, TX
  • NPI 1134553019
  NPD
• Sandeep G. Mistry, MD, PA

  • Urology Physician
  • Round Rock, TX
  • NPI 1760674253
  NPD
• Skin Cancer and Cosmetic Dermatology Center PC

  • Dermatology Physician
  • Chattanooga, TN
  • NPI 1144419458
  NPD (past)
• Southwest Skin & Cancer Clinic, P.a.

  • Dermatology Physician
  • Austin, TX
  • NPI 1619942182
  NPD (past)

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1235392424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 LAFAYETTE PKWY STE 240",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302413734",
            "telephone_number": "770-400-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Highway 34 E Ste B",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302651325",
            "country_code": "US",
            "telephone_number": "770-400-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAISOR",
        "first_name": "JAMIE",
        "middle_name": "B",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP145004",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127054",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R. J Shepherd II, Inc (Better Home Health Care of GA)
• Radiology Associates of Elberton, L.L.C.
• James Eric Ragan II, M.D.
• Awan Khondoker Rahman, D.O.
• Rainey Professional Association
• Angampally G Rajeev, MD
• Kalyani Rajeev, MD
• Vinayak Ramanath, MD
• Deema Raslan
• Delaina Ray, LPN

• Nurse Practitioner in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.