Individual provider Active NPI

Julia Drake

  • Family Nurse Practitioner
  • Waycross, GA
National Provider Identifier
1487027967
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN188845 Issued in GA
Practice address
615 Pendleton St Ste B
Waycross, GA 31501-4760
Phone
(912) 584-6300
Fax
(912) 285-9595
NPI assigned
Nov 5, 2015
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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 RN188845 GA Primary

Addresses

Primary practice location

615 Pendleton St Ste B
Waycross, GA 31501-4760

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 296-5691

Other practice location 1

1921 Alice St Ste 3A
Waycross, GA 31501-6202
Phone (912) 283-5616

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
I20160321001458 GA Practitioner - Nurse Practitioner 7113224049 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent's Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

Practice addresses (Care Compare)

1375 E King Ave
Suite B
Kingsland, GA 31548-6831
Phone (912) 882-2910

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Health System in Waycross, Inc. CurrentSince Feb 7, 2016 Accepting new patients
Mayo Clinic Health System in Waycross, Inc. CurrentSince Feb 7, 2016 Accepting new patients
South Georgia Emergency Medicine Associates PC CurrentSince Apr 26, 2023 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Feb 1, 2018 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Feb 1, 2018 Accepting new patients
St Vincent's Full Service Urgent Care, LLC CurrentSince Jun 25, 2018 Accepting new patients
Acs Primary Care Physicians - Southeast PC CurrentSince Mar 1, 2023 Accepting new patients
Integrated Regional Laboratories Pathology Services, LLC Current Accepting new patients

Locations

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

316 Shirley Ave
Douglas, GA 31533
Phone (912) 383-0815

1375 E King Ave
Ste B
Kingsland, GA 31548
Phone (912) 882-2910

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

1506 Alice St
Waycross, GA 31501
Phone (912) 285-3086

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

1921 Alice St
Ste 4A
Waycross, GA 31501
Phone (912) 283-5616

1921 Alice St
Ste 4B
Waycross, GA 31501
Phone (912) 285-5690

615 Pendleton St
Waycross, GA 31501
Phone (912) 285-9994

615 Pendleton St
Ste B
Waycross, GA 31501
Phone (912) 285-9994

Interoperability endpoints

  • Direct secure messaging: julia.drake.2@8967.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1487027967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "telephone_number": "904-296-5691",
            "fax_number": "904-450-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PENDLETON ST STE B",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014760",
            "telephone_number": "912-584-6300",
            "fax_number": "912-285-9595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1921 Alice St Ste 3A",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315016202",
            "country_code": "US",
            "telephone_number": "912-283-5616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "JULIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN188845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

Verify at the official NPI Registry.