Active NPI
Jason E Stephens, FNP
- Nurse Practitioner
- Augusta, GA
National Provider Identifier
1598137481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 182818
- Practice address
- 1224 Augusta West Parkway
Augusta, GA 30909 - Phone
- (706) 922-0191
- Fax
- (706) 922-0192
- NPI assigned
- Oct 30, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 182818 | GA | Primary |
Addresses
Primary practice location
1224 Augusta West Parkway
Augusta, GA 30909
Mailing address
PO Box 211045
Augusta, GA 30917-1045
Phone (706) 922-0191
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160329001242 | GA | Practitioner - Nurse Practitioner | 1850698366 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 182818 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dwarikesh, LLC | Current | Accepting new patients |
Locations
1224 Augusta West Pkwy
Augusta, GA 30909
Phone (706) 860-2986
Interoperability endpoints
- jason.stephens@782095967715332.direct.elationemr.com
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.
-
dba CliniCare ID Consultants of CSRA
- Infectious Disease Physician
- Augusta, GA
- NPI 1366876922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446163200000",
"number": "1598137481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 211045",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309171045",
"telephone_number": "706-922-0191",
"fax_number": "706-922-0192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 AUGUSTA WEST PARKWAY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30909",
"telephone_number": "706-922-0191",
"fax_number": "706-922-0192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "JASON",
"middle_name": "E",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-30",
"last_updated": "2015-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "182818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.