Individual provider Active NPI

Jillian A Mossner, FNP

  • Family Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1396198412
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN218748 Issued in GA
Practice address
335 Roselane St NW
Marietta, GA 30060-7902
Phone
(770) 421-1420
Fax
(770) 421-8055
NPI assigned
Jul 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN218748 GA Primary

Addresses

Primary practice location

335 Roselane St NW
Marietta, GA 30060-7902

Mailing address

335 Roselane St NW
Marietta, GA 30060-7902
Phone (770) 421-1420

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
I20180907000034 GA Practitioner - Nurse Practitioner 6901187467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Non-Surgical Orthopaedics PCGroup PAC ID 5991783045, 4 clinicians

Practice addresses (Care Compare)

418 Bradley St
Carrollton, GA 30117-3301
Phone (770) 420-4644

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Non-Surgical Orthopaedics PC CurrentSince Aug 6, 2018 Accepting new patients
Non-Surgical Orthopaedics PC CurrentSince Aug 6, 2018 Accepting new patients

Locations

418 Bradley St
Carrollton, GA 30117
Phone (770) 214-9146

1301 Sigman Rd NE
Ste 100
Conyers, GA 30012
Phone (770) 285-6012

335 Roselane St NW
Marietta, GA 30060
Phone (770) 420-4645

Interoperability endpoints

  • Direct secure messaging: jillian.mossner.p3@direct.precisionspinecare.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/AJIAAA

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1396198412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 ROSELANE ST NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607902",
            "telephone_number": "770-421-1420",
            "fax_number": "770-421-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 ROSELANE ST NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607902",
            "telephone_number": "770-421-1420",
            "fax_number": "770-421-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSNER",
        "first_name": "JILLIAN",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN218748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.