Active NPI
Sofia Jamal
- Ambulatory Women's Health Care Registered Nurse
- Lawrenceville, GA
National Provider Identifier
1558060962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Women's Health Care Registered Nurse
- License
- RN262375
- Practice address
- 2169 Lawrenceville Hwy
Lawrenceville, GA 30044-7710 - Phone
- (770) 676-5878
- NPI assigned
- Feb 24, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | RN262375 | GA | |
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | RN262375 | GA | Primary |
Addresses
Primary practice location
2169 Lawrenceville Hwy
Lawrenceville, GA 30044-7710
Mailing address
2169 Lawrenceville Hwy
Lawrenceville, GA 30044-7710
Phone (770) 676-5878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN262375 | Other | RN LICENSE |
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 |
|---|---|---|---|
| RN262375 | GA | MD | Ambulatory Women's Health Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1558060962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2169 LAWRENCEVILLE HWY",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300447710",
"telephone_number": "770-676-5878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2169 LAWRENCEVILLE HWY",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300447710",
"telephone_number": "770-676-5878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMAL",
"first_name": "SOFIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-24",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "GA",
"license": "RN262375",
"primary": false
},
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "GA",
"license": "RN262375",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "RN262375",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.