SJ &J Medical Group and Urgent Care

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN154861NP Issued in GA

Legal business name

SJ &J MEDICAL GROUP AND URGENT CARE

Practice address

304 Smith St
Lagrange, GA 30240-2746

Phone

(706) 882-0382

NPI assigned

Nov 16, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Christina Anderson, NP-C

Title

Nurse Practitioner/Manager

Phone

(706) 593-7766

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1384560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384560000000",
    "number": "1285064931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 SMITH ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402746",
            "telephone_number": "706-882-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 SMITH ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402746",
            "telephone_number": "706-882-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJ &J MEDICAL GROUP AND URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-16",
        "last_updated": "2013-11-16",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/MANAGER",
        "authorized_official_telephone_number": "706-593-7766",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN154861NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-PTAN",
            "identifier": "20250I3642",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.