Jennifer Nichole Craig, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F05240132 Issued in GA

Practice address

50 Hurt PLZ SE
Atlanta, GA 30303-2946

Phone

(404) 586-4265

NPI assigned

Jun 26, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rome Ways Holdings LLCGroup PAC ID 4082093307, 3 clinicians

Tapestry Hospice of Northwest Georgia LLCGroup PAC ID 5698937589, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rome Ways Holdings LLC

  • Physical Medicine & Rehabilitation Physician
  • Rome, GA
  • NPI 1265170377
  Medicare reassignment Care Compare group NPD
• Tapestry Hospice of Northwest Georgia LLC

  • Community Based Hospice Care Agency
  • Calhoun, GA
  • NPI 1952686768
  Medicare reassignment Care Compare group NPD
• Augusta Ways Holdings LLC

  • Physical Medicine & Rehabilitation Physician
  • Augusta, GA
  • NPI 1780322982
  NPD (past)

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1447095021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HURT PLZ SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303032946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HURT PLZ SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303032946",
            "telephone_number": "404-586-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "JENNIFER",
        "middle_name": "NICHOLE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F05240132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Clark Crafts, M.D.
• Craig Teasdale, DC, PC
• Carolyn (Callie) Elise Craig, SLP
• Carter Craig
• Hampton Deshaun Craig, D.C
• Keith D Craig, M.D.
• Makare Nzinga Craig
• Linda W Craighead, PH.D.
• Phillip Craigmile, MD
• Arielle Debrun Crain, APC

• Family Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.