Octavia Jones

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN188497 Issued in GA

Practice address

2267 Hastings Manor LN
Hampton, GA 30228-6493

Phone

(229) 232-3831

NPI assigned

Nov 21, 2023

Last updated

Nov 21, 2023By 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 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1437924206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2267 HASTINGS MANOR LN",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302286493",
            "telephone_number": "229-232-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2267 HASTINGS MANOR LN",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302286493",
            "telephone_number": "229-232-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "OCTAVIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "GA",
            "license": "RN188497",
            "primary": false
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "GA",
            "license": "RN188497",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "GA",
            "license": "RN188497",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "GA",
            "license": "RN188497",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaronette Johnson, CPT
• Carmetra Deann Johnson, LCSW
• Karen Sabina Johnson, CPT
• Latreasia Johnson
• Lisa Renee Jones
• Jalanda Monannique Jordan, LCSW
• Just Like Family Caregivers
• Brenda Ruth Kemp
• Lishonder G Kind
• Simone Knight, RN, BSN, IBCLC

• Home Health Registered Nurse in Hampton, GA
• Providers in Hampton, GA by specialty
• Home Health Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.