Active NPI
Jennifer E. Mumford, PA-C
- Physician Assistant
- Evans, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 13024
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2482 | SC | MD | Mental Health Counselor |
| PA2482 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Cardiology of Atlanta, LLC | Current | Accepting new patients | |
| Optum Care Services Company | Physician Assistant | Past | Accepting new patients |
| Rose Hill Family Physicians, LLC | Past | 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
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- 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.
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
- Pain Medicine (Anesthesiology) Physician
- Aiken, SC
- NPI 1275932733
-
- Emergency Medicine Physician
- Aiken, SC
- NPI 1730636168
-
- Neurology Physician
- Aiken, SC
- NPI 1518929629
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1467408450
-
- Family Nurse Practitioner
- Columbia, MD
- NPI 1912199415
Physician Assistant
-
- Family Medicine Physician
- Cambridge, MD
- NPI 1881647303
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1588665566
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.