Active NPI
Jaami Lynn McClellan Rutledge, DNP, ARNP
- Adult Health Nurse Practitioner
- Lawrenceville, GA
National Provider Identifier
1609081801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN247100
- Practice address
- 2000 Riverside Pkwy Ste 107
Lawrenceville, GA 30043-5926 - Phone
- (678) 878-2950
- Fax
- (678) 623-0904
- NPI assigned
- May 11, 2007
- Last updated
- Nov 6, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | AP30007704 | WA | |
| General Practice Registered Nurse | 163WG0000X | AP30007704 | WA | |
| Rehabilitation Registered Nurse | 163WR0400X | AP30007704 | WA | |
| Occupational Health Registered Nurse | 163WX0106X | AP30007704 | WA | |
| Nurse Practitioner | 363L00000X | AP30007704 | WA | |
| Adult Health Nurse Practitioner | 363LA2200X | AP30007704 | WA | |
| Primary Care Nurse Practitioner | 363LP2300X | AP30007704 | WA | |
| Occupational Health Nurse Practitioner | 363LX0106X | AP30007704 | WA | |
| Adult Health Nurse Practitioner | 363LA2200X | RN247100 | GA | Primary |
Addresses
Primary practice location
2000 Riverside Pkwy Ste 107
Lawrenceville, GA 30043-5926
Mailing address
2000 Riverside Pkwy Ste 107
Lawrenceville, GA 30043-5926
Phone (678) 878-2950
Other names 1
- Jaami Lynn McClellan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30007704 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthforce Occupational Medicine | Past | Accepting new patients | |
| Peachtree Hospice of Georgia, LLC | Past | Accepting new patients | |
| SB Healthcare, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community Based Hospice Care Agency
- Stockbridge, GA
- NPI 1043632334
-
dba BridgeWay Palliative Care
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Lawrenceville, GA
- NPI 1235669045
-
- Physician Assistant
- Bellevue, WA
- NPI 1538344676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509926400000",
"number": "1609081801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 RIVERSIDE PKWY STE 107",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300435926",
"telephone_number": "678-878-2950",
"fax_number": "678-623-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 RIVERSIDE PKWY STE 107",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300435926",
"telephone_number": "678-878-2950",
"fax_number": "678-623-0904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTLEDGE",
"first_name": "JAAMI",
"middle_name": "LYNN MCCLELLAN",
"credential": "DNP, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2017-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "AP30007704",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "WA",
"license": "AP30007704",
"primary": false
},
{
"code": "163WR0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Rehabilitation",
"state": "WA",
"license": "AP30007704",
"primary": false
},
{
"code": "163WX0106X",
"taxonomy_group": "",
"desc": "Registered Nurse, Occupational Health",
"state": "WA",
"license": "AP30007704",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30007704",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP30007704",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "WA",
"license": "AP30007704",
"primary": false
},
{
"code": "363LX0106X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Occupational Health",
"state": "WA",
"license": "AP30007704",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "RN247100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAAMI",
"last_name": "MCCLELLAN",
"middle_name": "LYNN",
"credential": "DNP, APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.