Jessica Pimentel, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN211274 Issued in GA

Practice address

303 Fraser Drive
Hinesville, GA 31313-3712

Phone

(912) 877-2227

NPI assigned

Dec 8, 2015

Last updated

Dec 8, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Effingham Hospital, Inc.

  dba Effingham Health System

  • Critical Access Hospital
  • Springfield, GA
  • NPI 1811962756
  Medicare reassignment NPD
• Effingham Hospital, Inc.

  dba Effingham Ear Nose and Throat

  • Otolaryngology Physician
  • Springfield, GA
  • NPI 1881588028
  NPD
• Effingham Hospital, Inc.

  dba Effingham Family Medicine at Port Wentworth

  • Clinic/Center
  • Port Wentworth, GA
  • NPI 1891925608
  NPD
• St Josephs Candler Urgent Care Centers LLC

  • Urgent Care Clinic/Center
  • Savannah, GA
  • NPI 1922580133
  NPD
• St Josephs Candler Urgent Care Centers LLC

  • Urgent Care Clinic/Center
  • Bluffton, SC
  • NPI 1902468697
  NPD
• Effingham Hospital, Inc.

  dba Effingham Family Medicine at Guyton

  • Rural Health Clinic/Center
  • Guyton, GA
  • NPI 1164651022
  NPD (past)
• Effingham Hospital, Inc.

  dba Effingham Pediatrics

  • Pediatrics Physician
  • Springfield, GA
  • NPI 1770259236
  NPD (past)
• Effingham Hospital, Inc.

  dba Effingham Family Medicine at Goshen

  • Rural Health Clinic/Center
  • Rincon, GA
  • NPI 1811020407
  NPD (past)

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1588039101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 LAKE SHORE BLVD",
            "city": "PORT WENTWORTH",
            "state": "GA",
            "postal_code": "314073612",
            "telephone_number": "912-547-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 FRASER DRIVE",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313133712",
            "telephone_number": "912-877-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIMENTEL",
        "first_name": "JESSICA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN211274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vadim Petrov-Kondratov, M.D.
• Phillips Pediatrics PC
• Donna Bowers Phillips, DDS
• Heidi Lynn Phillips
• Margaret Pietrucha
• Joseph E Pittman, OD
• Podiatry Medical Surgical LLC
• Dania Josefina Polanco-Hiraldo, RRT
• Joan Poor
• Rachel Russell Pope, OTR/L

• Family Nurse Practitioner in Hinesville, GA
• Providers in Hinesville, 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 Dec 8, 2015; 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.