Levi Jelks Jr., NURSE PRACTITIONER

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

RN130092 Issued in GA

Practice address

83 Upper Riverdale Road
Riverdale, GA 30274-3029

Phone

(770) 968-7933

NPI assigned

Apr 18, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Qcpi-Villagemd PC 76 clinicians

Esop Rehabilitation LLC 224 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: levi.jelks.1@21533.direct.athenahealth.com

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.

• Qcpi-Villagemd, PC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1558872432

  GA

  Medicare reassignment Care Compare group
• Advanced Internal Medicine

  • Primary Care Clinic/Center
  • Stockbridge, GA
  • NPI 1669658829

  GA

  Medicare reassignment NPD
• Esop Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Marietta, GA
  • NPI 1548699127
  Care Compare group
• Esop Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Norcross, GA
  • NPI 1629490743
  Care Compare group
• Esop Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Conyers, GA
  • NPI 1811319023
  Care Compare group
• Esop Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Atlanta, GA
  • NPI 1164182333
  Care Compare group
• Esop Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Griffin, GA
  • NPI 1194147215
  Care Compare group
• Esop Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Tucker, GA
  • NPI 1730501982
  Care Compare group
• Esop Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Morrow, GA
  • NPI 1780006825
  Care Compare group
• Esop Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Atlanta, GA
  • NPI 1962824003
  Care Compare group
• Esop Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Cumming, GA
  • NPI 1962824177
  Care Compare group
• Qcpi-Villagemd, PC

  • Rural Health Clinic/Center
  • Monticello, GA
  • NPI 1508720822
  Care Compare group

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1306333083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 HIGHWAY 138 SW",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302961819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 UPPER RIVERDALE ROAD",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302743029",
            "telephone_number": "770-968-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELKS",
        "first_name": "LEVI",
        "name_suffix": "Jr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN130092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Kishan Jani, M.B.B.S
• Surabhi Jani, LMFT
• Christina Jarvis-Reid, LPN
• Avinash Javvaji, M.D
• Hazel Jay
• Sarah Grace Jeniolionis, MSN, APRN, FNP-C
• Marcus Jenkins, MD
• Valerie Jenkins
• Jacqueline Hope Jennings, FNP-C
• JM Home Care Services

• All providers in Riverdale, GA
• Acute Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.