Jody L Amazon, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R096082 Issued in GA

Practice address

2160 Fountain Dr Ste 220
Snellville, GA 30078-7022

Phone

(678) 336-9102

Fax

(770) 674-8563

NPI assigned

Jan 18, 2006

Last updated

Jan 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Emory University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jody Amazon PCGroup PAC ID 2466866322, 2 clinicians

Ascend Medical Georgia PCGroup PAC ID 8820488745, 24 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.7 of 100Reported as individual

Quality

95

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jody@jodya.curemd.direct-ci.com
• Direct secure messaging: jodyamazon@hfs.allscriptsdirect.net

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.

• Ascend Medical Georgia PC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1841800836
  Medicare reassignment Care Compare group
• Jae Pak PC

  dba Healthcare For Seniors

  • Geriatric Psychiatry Physician
  • Snellville, GA
  • NPI 1184706996
  Medicare reassignment NPD
• Ascend Medical Georgia II PC

  • Psychiatry Physician
  • Atlanta, GA
  • NPI 1659966075
  Medicare reassignment
• Jody Amazon PC

  dba Ahava Healthcare

  • Geriatric Psychiatry Physician
  • Snellville, GA
  • NPI 1396334330
  NPD
• Life Healing Center PC

  • Psychiatry Physician
  • Snellville, GA
  • NPI 1104149160
  NPD
• Gary S Figiel MD PC

  dba Southeastern Geriatric Healthcare Group

  • Geriatric Psychiatry Physician
  • Atlanta, GA
  • NPI 1265591754
  NPD (past)
• Greater Gwinnett Physician Practice Company

  dba Mountain East Family Medicine

  • Family Medicine Physician
  • Lilburn, GA
  • NPI 1891737425
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1427038470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 FOUNTAIN DR STE 220",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787022",
            "telephone_number": "678-336-9102",
            "fax_number": "770-674-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 FOUNTAIN DR STE 220",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787022",
            "telephone_number": "678-336-9102",
            "fax_number": "770-674-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAZON",
        "first_name": "JODY",
        "middle_name": "L",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "R096082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000771196C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "50BBKVV",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Snellville, GA
• Providers in Snellville, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.