Individual provider Active NPI

Jennifer E. Mumford, PA-C

  • Physician Assistant
  • Evans, GA
National Provider Identifier
1437278140
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13024 Issued in GA
Practice address
4350 Towne Centre Dr Ste 3200
Evans, GA 30809-3333
Phone
(706) 863-3790
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 13024 GA Primary
Physician Assistant 363A00000X PA2482 SC

Addresses

Primary practice location

4350 Towne Centre Dr Ste 3200
Evans, GA 30809-3333

Mailing address

12 Caw Caw CT
Aiken, SC 29803-5804
Phone (410) 739-7311

Other practice location 1

6095 Marshalee Dr
Ste 100
Elkridge, MD 21075-6053
Phone (410) 739-7311

Other practice location 2

302 University Pkwy
Aiken, SC 29801-6302
Phone (803) 641-5100

Other names 1

  • Jennifer E. Teagle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160218000075 SC Practitioner - Physician Assistant 9335278712 Reassigns benefits to 2 organizations
I20251008000419 GA Practitioner - Physician Assistant 9335278712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians
Aiken Neurosciences and Pain Management LLCGroup PAC ID 0446472153, 2 clinicians

Practice addresses (Care Compare)

1348 Walton Way
Suite 5100
Augusta, GA 30901-5108
Phone (706) 722-1381

1350 Walton Way
Augusta, GA 30901-2612
Phone (706) 774-2183

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

4350 Towne Centre Dr
Suite 1100
Evans, GA 30809-3329
Phone (706) 863-3790

5110 Woodside Executive CT
Aiken, SC 29803-3814
Phone (803) 642-6500

Hospital & facility affiliations

  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2482SCMDMental Health Counselor
PA2482SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Cardiology of Atlanta, LLC CurrentSince Sep 1, 2025 Accepting new patients
Optum Care Services Company Physician Assistant Past Accepting new patients
Rose Hill Family Physicians, LLC PastSince Oct 1, 2001 Accepting new patients
Medlantic Healthcare Group Past Accepting new patients
Aiken Neurosciences PC Past Accepting new patients

Locations

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

4350 Towne Centre Dr
Ste 3200
Evans, GA 30809
Phone (706) 863-3790

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/11228/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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 1

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1437278140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CAW CAW CT",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035804",
            "telephone_number": "410-739-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 TOWNE CENTRE DR STE 3200",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093333",
            "telephone_number": "706-863-3790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6095 Marshalee Dr",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Elkridge",
            "state": "MD",
            "postal_code": "210756053",
            "country_code": "US",
            "telephone_number": "410-739-7311",
            "fax_number": "410-379-3590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 University Pkwy",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298016302",
            "country_code": "US",
            "telephone_number": "803-641-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUMFORD",
        "first_name": "JENNIFER",
        "middle_name": "E.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "13024",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "PA2482",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "TEAGLE",
            "middle_name": "E.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.