Individual provider Active NPI

Jamie Battle Givens, PA-C

  • Medical Physician Assistant
  • Warner Robins, GA
National Provider Identifier
1598027740
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
6468 Issued in GA
Practice address
136 S Houston Lake Rd
Warner Robins, GA 31088-6300
Phone
(478) 953-1020
Fax
(478) 953-5406
NPI assigned
Jun 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 6468 GA Primary

Addresses

Primary practice location

136 S Houston Lake Rd
Warner Robins, GA 31088-6300

Mailing address

136 S Houston Lake Rd
Warner Robins, GA 31088-6300
Phone (478) 953-1020

Other identifiers 1

IdentifierTypeStateIssuer
6468OtherGASTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgivens@directaddress.net

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
I20120725000938 GA Practitioner - Physician Assistant 0547426108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William E. Freeman, MD 5 clinicians

Practice addresses (Care Compare)

136 S Houston Lake Rd
Warner Robins, GA 31088-6300
Phone (478) 953-1020

Hospital & facility affiliations

  • Emory Houston Hospital Warner Robins Hospital, Warner Robins, GA, CCN 110069

Merit-based Incentive Payment System (MIPS)

Final score
89.34 of 100Reported as group
Quality
90.49
Improvement activities
40
Cost
77.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6468GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
William E. Freeman, MD CurrentSince Jun 12, 2012 Accepting new patients

Locations

136 S Houston Lake Rd
Warner Robins, GA 31088
Phone (478) 953-1020

Organizations & group practices 2

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": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1598027740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 S HOUSTON LAKE RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886300",
            "telephone_number": "478-953-1020",
            "fax_number": "478-953-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 S HOUSTON LAKE RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886300",
            "telephone_number": "478-953-1020",
            "fax_number": "478-953-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIVENS",
        "first_name": "JAMIE",
        "middle_name": "BATTLE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "6468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6468",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgivens@directaddress.net",
            "affiliation": "N",
            "address_1": "136 S Houston Lake Rd",
            "city": "Warner Robins",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310886300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.