Individual provider Active NPI

Jazmine Bell, NP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1477152080
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
GAA-NP001342 Issued in GA
Practice address
1231 Joseph E Boone Blvd NW
Atlanta, GA 30314-2395
Phone
(404) 817-9994
Fax
(404) 963-1193
NPI assigned
Oct 23, 2020
Last updated
Jun 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X GAA-NP001342 GA Primary
Family Nurse Practitioner 363LF0000X 11009864 FL

Addresses

Primary practice location

1231 Joseph E Boone Blvd NW
Atlanta, GA 30314-2395

Mailing address

1231 Joseph E Boone Blvd NW
Atlanta, GA 30314-2395
Phone (404) 817-9994

Other practice location 1

736 HWY 78 E West
Villa Rica, GA 30180
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, 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
I20210413000580 FL Practitioner - Nurse Practitioner 1951719905 Reassigns benefits to 1 organization
I20230602001050 GA Practitioner - Nurse Practitioner 1951719905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
001342GAMDPediatrics Physician
11009864FLMDFamily Nurse Practitioner
GAA-NP001342GAMDFamily Nurse Practitioner

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1477152080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 JOSEPH E BOONE BLVD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303142395",
            "telephone_number": "404-817-9994",
            "fax_number": "404-963-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 JOSEPH E BOONE BLVD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303142395",
            "telephone_number": "404-817-9994",
            "fax_number": "404-963-1193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "736 HWY 78 E West",
            "address_purpose": "LOCATION",
            "city": "Villa Rica",
            "state": "GA",
            "postal_code": "30180",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELL",
        "first_name": "JAZMINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP001342",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009864",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.