Individual provider Active NPI

Jessica Fields, NP-C

  • Nurse Practitioner
  • Moultrie, GA
National Provider Identifier
1588072680
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN189454 Issued in GA
Practice address
3 Sweet Bay CT
Moultrie, GA 31768-6784
Phone
(229) 985-2198
NPI assigned
Aug 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN189454 GA Primary

Addresses

Primary practice location

3 Sweet Bay CT
Moultrie, GA 31768-6784

Mailing address

PO Box 2876
Moultrie, GA 31776-2876
Phone (229) 985-2198

Other practice location 1

139 E Broad
Norman Park, GA 31771-5085
Phone (229) 985-2198

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150105001218 GA Practitioner - Nurse Practitioner 8729301403 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colquitt Regional OB/GYN, LLCGroup PAC ID 3577726470, 6 clinicians

Practice addresses (Care Compare)

3 Sweet Bay CT
Moultrie, GA 31768-6784
Phone (229) 985-2198

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Neurology Specialists PL CurrentSince Aug 17, 2020 Accepting new patients
Tallahassee Neurology Specialists, P.L. CurrentSince Aug 17, 2020 Accepting new patients
Colquitt Regional Surgery, LLC PastSince Apr 1, 2023 Accepting new patients
Norman Park Family Medicine Clinic LLC PastSince May 1, 2020 Accepting new patients

Locations

500 Gordon Ave
Thomasville, GA 31792
Phone (229) 226-5800

119 W Hansell St
Thomasville, GA 31792
Phone (229) 226-7873

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1588072680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2876",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317762876",
            "telephone_number": "229-985-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SWEET BAY CT",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686784",
            "telephone_number": "229-985-2198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "139 E Broad",
            "address_purpose": "LOCATION",
            "city": "Norman Park",
            "state": "GA",
            "postal_code": "317715085",
            "country_code": "US",
            "telephone_number": "229-985-2198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "JESSICA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-01",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN189454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moultrie, GA

Sources for this page

Verify at the official NPI Registry.