Active NPI
Jayla Danielle Thurman, RDN, LD
- Oncology Nutrition Registered Dietitian
- Newnan, GA
National Provider Identifier
1568109676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Nutrition Registered Dietitian
- License
- LD006229
- Practice address
- 600 Celebrate Life Pkwy
Newnan, GA 30265-8001 - Phone
- (470) 241-7410
- NPI assigned
- May 19, 2022
- 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 |
|---|---|---|---|---|
| Oncology Nutrition Registered Dietitian | 133VN1301X | LD006229 | GA | Primary |
| Nutritionist | 133N00000X | GA |
Addresses
Primary practice location
600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Mailing address
1692 Covington Bridge Rd SE
Fairmount, GA 30139-2094
Phone (770) 324-9855
Other practice location 1
1692 Covington Bridge Rd SE
Fairmount, GA 30139-2094
Phone (770) 324-9855
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Group of Georgia LLC | Current | Accepting new patients |
Locations
600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334
62742 Collections Ctr Dr
Chicago, IL 60693
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.
-
- Internal Medicine Physician
- Newnan, GA
- NPI 1447520333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1568109676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1692 COVINGTON BRIDGE RD SE",
"city": "FAIRMOUNT",
"state": "GA",
"postal_code": "301392094",
"telephone_number": "770-324-9855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 CELEBRATE LIFE PKWY",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302658001",
"telephone_number": "470-241-7410"
}
],
"practiceLocations": [
{
"address_1": "1692 Covington Bridge Rd SE",
"address_purpose": "LOCATION",
"city": "Fairmount",
"state": "GA",
"postal_code": "301392094",
"country_code": "US",
"telephone_number": "770-324-9855",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THURMAN",
"first_name": "JAYLA",
"middle_name": "DANIELLE",
"name_prefix": "Ms.",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-19",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1301X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Oncology",
"state": "GA",
"license": "LD006229",
"primary": true
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "GA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.