Individual provider Active NPI

Jamie Whitsel Williams, MSN, NP-C

  • Family Nurse Practitioner
  • Athens, GA
National Provider Identifier
1477801918
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN128974 Issued in GA
Practice address
3320 Old Jefferson Rd
Building 400
Athens, GA 30607-1400
Phone
(706) 613-1625
Fax
(706) 613-1629
NPI assigned
Aug 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN128974 GA Primary

Addresses

Primary practice location

3320 Old Jefferson Rd
Building 400
Athens, GA 30607-1400

Mailing address

3320 Old Jefferson Rd
Building 400
Athens, GA 30607-1400
Phone (706) 613-1625

Other names 1

  • Jamie Cecilia Whitsel Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160318000667 GA Practitioner - Nurse Practitioner 4981901915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Gastroenterology AssociationGroup PAC ID 8527070630, 6 clinicians

Practice addresses (Care Compare)

209 Mercer PL
Commerce, GA 30529-1564
Phone (706) 613-1625

3320 Old Jefferson Rd
Suite 400
Athens, GA 30607-1463
Phone (706) 613-1625

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN128974GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Gastroenterology Association CurrentSince Feb 9, 2016 Accepting new patients

Locations

3320 Old Jefferson Rd
Ste 400
Athens, GA 30607
Phone (706) 400-4262

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1477801918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON RD",
            "address_2": "BUILDING 400",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071400",
            "telephone_number": "706-613-1625",
            "fax_number": "706-613-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON RD",
            "address_2": "BUILDING 400",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071400",
            "telephone_number": "706-613-1625",
            "fax_number": "706-613-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JAMIE",
        "middle_name": "WHITSEL",
        "name_prefix": "Mrs.",
        "credential": "MSN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN128974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "WHITSEL",
            "middle_name": "CECILIA",
            "credential": "RN, NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.