Jasmine Elizabeth Rose Hagen

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

13016 Issued in GA

Practice address

1706 Alice St
Waycross, GA 31501-5216

Phone

(912) 285-1140

NPI assigned

Aug 10, 2024

Last updated

Oct 22, 2026By the provider in NPPES

Sex

Female

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

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Peachtree Immediate Care FP, LLC

  • Family Medicine Physician
  • Hiram, GA
  • NPI 1437194156
  Medicare reassignment Care Compare group
• Peachtree Immediate Care UC, LLC

  • Urgent Care Clinic/Center
  • Decatur, GA
  • NPI 1235573841
  NPD (past)

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

{
    "created_epoch": "1723248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1326879420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "855-963-2100",
            "fax_number": "813-321-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 ALICE ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315015216",
            "telephone_number": "912-285-1140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 W Call St",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323043556",
            "country_code": "US",
            "telephone_number": "850-644-1855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1708 Norman Dr",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316013574",
            "country_code": "US",
            "telephone_number": "229-588-8017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "JASMINE",
        "middle_name": "ELIZABETH ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-10",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "13016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Griffis, LMSW
• Matthew Ryan Gritzke, PTA
• Phillip G. Grooms, M.D.
• Gabrielle Alyse Gunter, FNP-C
• Melissa Guthrie-Thomas, LCSW
• Keri Tuten Hale, NP
• Anna Hamilton
• Candice Y Hampton
• Hanger Prosthetics & Orthotics, Inc. (Hanger Clinic)
• James Waide Hankla, AU.D., CCC-A

• Physician Assistant in Waycross, GA
• Providers in Waycross, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; 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.