Active NPI
Jolanda Catoyia Wilkerson
- Nurse's Aide
- Cumming, GA
National Provider Identifier
1609435593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Practice address
- 4625 Sundance Cir
Cumming, GA 30028-3416 - Phone
- (404) 316-9959
- NPI assigned
- Jun 13, 2019
- Last updated
- Jun 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | |||
| Nurse's Aide | 376K00000X | GA | Primary |
Addresses
Primary practice location
4625 Sundance Cir
Cumming, GA 30028-3416
Mailing address
4625 Sundance Cir
Cumming, GA 30028-3416
Phone (404) 316-9959
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Cumming | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Healthcare LLC | Current | Accepting new patients | |
| Affinity Healthcare LLC | Current | Accepting new patients | |
| Affinity Cares Homecare LLC | Current | 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.
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- NPI 1033918008
-
dba Ajoy Healthcare
- Community Based Hospice Care Agency
- Alpharetta, GA
- NPI 1164054953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1609435593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 SUNDANCE CIR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300283416",
"telephone_number": "404-316-9959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 SUNDANCE CIR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300283416",
"telephone_number": "404-316-9959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKERSON",
"first_name": "JOLANDA",
"middle_name": "CATOYIA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-13",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Cumming",
"affiliation": "N",
"endpointDescription": "Mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "US Mail",
"address_1": "4625 Sundance Cir",
"city": "Cumming",
"state": "GA",
"country_code": "US",
"postal_code": "300283416",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.