Active NPI
Jadan Pinckney McGhin, N.P.
- Family Nurse Practitioner
- Valdosta, GA
National Provider Identifier
1508949074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN149417
- Practice address
- 601 N Lee St
Valdosta, GA 31601-4725 - Phone
- (229) 247-8025
- Fax
- (229) 245-8432
- NPI assigned
- Oct 20, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN149417 | GA | Primary |
Addresses
Primary practice location
601 N Lee St
Valdosta, GA 31601-4725
Mailing address
3798 Old Vine Way
Valdosta, GA 31605
Phone (229) 671-9061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 656217909A | Medicaid | GA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN149417 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508949074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3798 OLD VINE WAY",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "31605",
"telephone_number": "229-671-9061",
"fax_number": "229-245-8432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N LEE ST",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316014725",
"telephone_number": "229-247-8025",
"fax_number": "229-245-8432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGHIN",
"first_name": "JADAN",
"middle_name": "PINCKNEY",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN149417",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "656217909A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.