Active NPI
Jeannie King
- Neonatal Nurse Practitioner
- Rome, GA
National Provider Identifier
1235560921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- RN120898
- Practice address
- 304 Turner McCall Blvd SW
Rome, GA 30165-5621 - Phone
- (706) 509-3000
- NPI assigned
- Dec 5, 2013
- Sex
- Female
- 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 | RN120898 | GA | Primary |
Addresses
Primary practice location
304 Turner McCall Blvd SW
Rome, GA 30165-5621
Mailing address
420 E 2ND Ave
Suite 103
Rome, GA 30161-3209
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jpking@hamilton.cernerdirect.com | Health Information Exchange (HIE) |
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
Interoperability endpoints
- jking18988@hhcs.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1235560921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 E 2ND AVE",
"address_2": "SUITE 103",
"city": "ROME",
"state": "GA",
"postal_code": "301613209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 TURNER MCCALL BLVD SW",
"city": "ROME",
"state": "GA",
"postal_code": "301655621",
"telephone_number": "706-509-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JEANNIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-05",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "GA",
"license": "RN120898",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jpking@hamilton.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Hamilton Medical Center",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1200 Memorial Dr",
"city": "Dalton",
"state": "GA",
"country_code": "US",
"postal_code": "307202529",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.