Active NPI
Jamison McKenzie Moran
- Family Nurse Practitioner
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN259143
- Practice address
- 111 Doctor Cir
Columbia, SC 29203-6502 - Phone
- (800) 491-0909
- NPI assigned
- Apr 22, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN259143 | GA | Primary |
Addresses
Primary practice location
111 Doctor Cir
Columbia, SC 29203-6502
Mailing address
111 Doctor Cir
Columbia, SC 29203-6502
Phone (800) 491-0909
Other practice location 1
304 N Westberry St
Sylvester, GA 31791-2125
Phone (229) 463-7071
Other practice location 2
605 SW Central Ave
Blackshear, GA 31516-2269
Phone (912) 387-6298
Other practice location 3
140 Martin Palmer Dr
Brunswick, GA 31523-8285
Phone (912) 567-6660
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241226001923 | GA | Practitioner - Nurse Practitioner | 8820525157 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Select Rehabilitation, LLCAccess Medical Clinic Georgia LLCSC House Calls IncChronic Disease Management of Georgia LLC
Practice addresses (Care Compare)
2600 Compass Rd
Glenview, IL 60026-8001
304 N Westberry St
Sylvester, GA 31791-2125
Phone (229) 463-7071
624 Ellis St
Augusta, GA 30901-1434
Phone (800) 491-0909
704 Breedlove Dr
Suite a
Monroe, GA 30655-2054
Phone (888) 772-0076
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN259143 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chronic Disease Management of Georgia, LLC | Current | Accepting new patients |
Locations
704 Breedlove Dr
#A
Monroe, GA 30655
Phone (888) 772-0076
Organizations & group practices 8
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.
-
- Physical Medicine & Rehabilitation Physician
- Monroe, GA
- NPI 1699300939
GA
-
- Oxygen Equipment & Supplies (DME)
- Columbia, SC
- NPI 1073201711
-
- Rural Health Clinic/Center
- Hawkinsville, GA
- NPI 1174104657
-
- Rural Health Clinic/Center
- Brunswick, GA
- NPI 1568100519
-
- Rural Health Clinic/Center
- Sylvester, GA
- NPI 1639774714
-
- Family Medicine Physician
- Perry, GA
- NPI 1730793639
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1407601685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 DOCTOR CIR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036502",
"telephone_number": "800-491-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 DOCTOR CIR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036502",
"telephone_number": "800-491-0909"
}
],
"practiceLocations": [
{
"address_1": "304 N Westberry St",
"address_purpose": "LOCATION",
"city": "Sylvester",
"state": "GA",
"postal_code": "317912125",
"country_code": "US",
"telephone_number": "229-463-7071",
"fax_number": "229-463-7081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "605 SW Central Ave",
"address_purpose": "LOCATION",
"city": "Blackshear",
"state": "GA",
"postal_code": "315162269",
"country_code": "US",
"telephone_number": "912-387-6298",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "140 Martin Palmer Dr",
"address_purpose": "LOCATION",
"city": "Brunswick",
"state": "GA",
"postal_code": "315238285",
"country_code": "US",
"telephone_number": "912-567-6660",
"fax_number": "833-606-0577",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORAN",
"first_name": "JAMISON",
"middle_name": "MCKENZIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-22",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN259143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.