Active NPI
Pamela Whitssell
- Transportation Broker
- Jasper, GA
National Provider Identifier
1255723680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- License
- LIC -2-15-21148
- Practice address
- 4778 Old Burnt Mountain Rd
Jasper, GA 30143-2336 - Phone
- (770) 894-9293
- NPI assigned
- Feb 23, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transportation Broker | 347E00000X | LIC -2-15-21148 | GA | Primary |
Addresses
Primary practice location
4778 Old Burnt Mountain Rd
Jasper, GA 30143-2336
Mailing address
4778 Old Burnt Mountain Rd
Jasper, GA 30143-2336
Phone (770) 894-9293
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424649600000",
"number": "1255723680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4778 OLD BURNT MOUNTAIN RD",
"city": "JASPER",
"state": "GA",
"postal_code": "301432336",
"telephone_number": "770-894-9293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4778 OLD BURNT MOUNTAIN RD",
"city": "JASPER",
"state": "GA",
"postal_code": "301432336",
"telephone_number": "770-894-9293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITSSELL",
"first_name": "PAMELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-23",
"last_updated": "2015-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": "GA",
"license": "LIC -2-15-21148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jasper, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.