Active NPI
Jane Michelle Gavette, LPN
- Licensed Practical Nurse
- Rome, GA
National Provider Identifier
1508728189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN048596
- Practice address
- 409 W 10TH St NE
Rome, GA 30165-2640 - Phone
- (706) 406-5093
- NPI assigned
- Dec 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN048596 | GA | Primary |
Addresses
Primary practice location
409 W 10TH St NE
Rome, GA 30165-2640
Mailing address
PO Box 2333
Rome, GA 30164-2333
Phone (706) 406-5093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN048596 | GA | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Foot & Ankle Specialists | Current | Accepting new patients | |
| Mindset for Prosperity LLC | Current | Accepting new patients |
Locations
409 W 10th St NE
Rome, GA 30165
Phone (706) 232-3888
Organizations & group practices 2
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.
-
- Podiatric Clinic/Center
- Rome, GA
- NPI 1801939293
-
- Psychiatric/Mental Health Nurse Practitioner
- Rome, GA
- NPI 1902545981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1508728189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2333",
"city": "ROME",
"state": "GA",
"postal_code": "301642333",
"telephone_number": "706-406-5093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 W 10TH ST NE",
"city": "ROME",
"state": "GA",
"postal_code": "301652640",
"telephone_number": "706-406-5093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAVETTE",
"first_name": "JANE",
"middle_name": "MICHELLE",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-02",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "GA",
"license": "LPN048596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.