Anna Catherine Jessup

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

330 River Rd
Athens, GA 30602

Phone

(706) 542-5060

NPI assigned

Jul 18, 2019

Last updated

Jul 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1437702453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 MAPLE CREEK DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300527111",
            "telephone_number": "678-900-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 RIVER RD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30602",
            "telephone_number": "706-542-5060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 Haymon Morris Rd",
            "address_purpose": "LOCATION",
            "city": "Winder",
            "state": "GA",
            "postal_code": "306807889",
            "country_code": "US",
            "telephone_number": "770-586-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JESSUP",
        "first_name": "ANNA",
        "middle_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Hugh Jenkins, MD
• Joel Chandler Jenkins, O.D.
• Liana Jenkins, LPN
• Jennifer Boone, LCSW LLC
• Jessica Parker
• Sussnna Jesweak, RN
• Vinod Jeyaretnam, DO
• Jing Dong M.D. P.C. (Georgia Center for Sight)
• Jing Dong M.D. P.C. (Georgia Center for Sight)
• JMS Counseling LLC

• Student in an Organized Health Care Education/Training Program in Athens, GA
• Providers in Athens, GA by specialty
• Student in an Organized Health Care Education/Training Program in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.