Individual provider Active NPI

Jamie Brooklyn Castle, DO

  • Pediatrics Physician
  • Columbus, GA
National Provider Identifier
1407598139
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
105441 Issued in GA
Practice address
2416 Capstone CT
Columbus, GA 31909-2795
Phone
(706) 327-1281
Fax
(706) 576-9714
NPI assigned
Apr 12, 2022
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 105441 GA Primary

Addresses

Primary practice location

2416 Capstone CT
Columbus, GA 31909-2795

Mailing address

2416 Capstone CT
Columbus, GA 31909-2795
Phone (706) 327-1281

Other practice location 1

6775 Bear Br
Salyersville, KY 41465-8757
Phone (606) 496-5950

Other practice location 2

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 744-3041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220628002254 NC Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3173902731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
105441GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rivertown Pediatrics, P.C. Pediatrics CurrentSince Aug 17, 2025 Accepting new patients

Locations

2416 Capstone Ct
Columbus, GA 31909
Phone (706) 327-1281

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1407598139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 CAPSTONE CT",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092795",
            "telephone_number": "706-327-1281",
            "fax_number": "706-576-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 CAPSTONE CT",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092795",
            "telephone_number": "706-327-1281",
            "fax_number": "706-576-9714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6775 Bear Br",
            "address_purpose": "LOCATION",
            "city": "Salyersville",
            "state": "KY",
            "postal_code": "414658757",
            "country_code": "US",
            "telephone_number": "606-496-5950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Stantonsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278342818",
            "country_code": "US",
            "telephone_number": "252-744-3041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTLE",
        "first_name": "JAMIE",
        "middle_name": "BROOKLYN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "105441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.