Individual provider Active NPI

Jessica Wilson Cashwell, NP-C

  • Adult Health Nurse Practitioner
  • Thomasville, GA
National Provider Identifier
1295377000
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN225887 Issued in GA
Practice address
116 Mimosa Dr
Thomasville, GA 31792-6605
Phone
(229) 584-5700
NPI assigned
Oct 14, 2019
Last updated
Nov 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN225887 GA Primary

Addresses

Primary practice location

116 Mimosa Dr
Thomasville, GA 31792-6605

Mailing address

116 Mimosa Dr
Thomasville, GA 31792-6605
Phone (229) 584-5700

Other identifiers 1

IdentifierTypeStateIssuer
003226395AMedicaidGA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jcashwell@archbold.org
Direct Messaging Address jcashwell@archbold.org

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
I20200306001637 GA Practitioner - Nurse Practitioner 1658709563 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CCSG, IncGroup PAC ID 6103130745, 25 clinicians

Practice addresses (Care Compare)

116 Mimosa Dr
Thomasville, GA 31792-6605
Phone (229) 551-0083

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN225887GAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
John D Archbold Memorial Hospital Inc CurrentSince Mar 30, 2020 Accepting new patients
Pathology Associates, P.C. Current Accepting new patients

Locations

1323 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-0283

1155 5th St SE
Cairo, GA 39828
Phone (229) 226-3060

259 US Highway 19 N
Camilla, GA 31730
Phone (229) 227-1229

1309 W Screven St
Quitman, GA 31643
Phone (229) 263-6992

100 Mimosa Dr
Thomasville, GA 31792
Phone (229) 226-9141

112 Mimosa Dr
Thomasville, GA 31792
Phone (229) 227-0045

116 Mimosa Dr
Thomasville, GA 31792
Phone (229) 551-0083

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

920 Cairo Rd
Thomasville, GA 31792
Phone (229) 228-8800

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1295377000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MIMOSA DR",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926605",
            "telephone_number": "229-584-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MIMOSA DR",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926605",
            "telephone_number": "229-584-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASHWELL",
        "first_name": "JESSICA",
        "middle_name": "WILSON",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN225887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003226395A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcashwell@archbold.org",
            "affiliation": "N",
            "address_1": "112 Mimosa Dr",
            "city": "Thomasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317926605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcashwell@archbold.org",
            "affiliation": "N",
            "address_1": "116 Mimosa Dr",
            "city": "Thomasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317926605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.