Jaylisa Jasminique Collins, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN333717 Issued in GA

Practice address

4485 Fulton Industrial Blvd SW Ste A1
Atlanta, GA 30336-1949

Phone

(470) 914-6244

NPI assigned

Feb 15, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The Clinic for All / la Clinica de Todos, LLC

  • Primary Care Clinic/Center
  • East Point, GA
  • NPI 1053598284
  Medicare reassignment NPD
• Keri Heart Inc

  dba Keri Heart Medical Center

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1871281121

  GA

  Medicare reassignment NPD
• Allure Health Atlanta LLC

  • Primary Care Nurse Practitioner
  • East Point, GA
  • NPI 1326997560
  NPD Authorized official
• Elite Preferred Healthcare Inc

  • General Practice Physician
  • Brookhaven, GA
  • NPI 1649096777
  NPD (past)

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

{
    "created_epoch": "1739577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1568267441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 FULTON INDUSTRIAL BLVD SW STE A1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303361949",
            "telephone_number": "470-914-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 FULTON INDUSTRIAL BLVD SW STE A1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303361949",
            "telephone_number": "470-914-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JAYLISA",
        "middle_name": "JASMINIQUE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-15",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN333717",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN333717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Seifert Collins, M.D.
• Ethan Collins
• Gabrielle Lacy Collins, MD, MPH
• Hannah H Collins, ANP
• James E. Collins, D.D.S.
• Jeffrey M Collins, MD
• Jeremy Collins, MD
• Jeremy Heath Collins, MD
• Jewel Marie Collins, PA-C
• John M Collins IV

• Family Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.