Individual provider Active NPI

Jessica Newton Ehinger, NP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1285378695
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN278765 Issued in GA
Practice address
5555 Peachtree Dunwoody Rd Ste G65
Atlanta, GA 30342-1710
Phone
(404) 843-3323
Fax
(404) 574-5944
NPI assigned
Apr 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN278765 GA
Family Nurse Practitioner 363LF0000X RN278765 GA Primary

Addresses

Primary practice location

5555 Peachtree Dunwoody Rd Ste G65
Atlanta, GA 30342-1710

Mailing address

4315 Parkside PL
Sandy Springs, GA 30342-2902

Other names 1

  • Jessica Catherine Newton Former name

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
I20240814001367 GA Practitioner - Nurse Practitioner 1850839440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Spine and Pain Physicians, Inc.Group PAC ID 3375436595, 3 clinicians

Practice addresses (Care Compare)

5555 Peachtree Dunwoody Rd
G65
Atlanta, GA 30342-1710
Phone (404) 843-3323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Spine & Pain Physicians, Inc CurrentSince Jun 11, 2024 Accepting new patients

Locations

1770 Indian Trail Rd
Norcross, GA 30093
Phone (470) 807-9131

5555 Peachtree Dunwoody Rd
Ste G65
Sandy Springs, GA 30342
Phone (404) 943-1996

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1285378695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 PARKSIDE PL",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303422902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 PEACHTREE DUNWOODY RD STE G65",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421710",
            "telephone_number": "404-843-3323",
            "fax_number": "404-574-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHINGER",
        "first_name": "JESSICA",
        "middle_name": "NEWTON",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN278765",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN278765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "NEWTON",
            "middle_name": "CATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.