Jolanda Catoyia Wilkerson
Individual provider Active NPI Nurse's Aide · Cumming, GA
NPI 1609435593 · NPPES record last updated Jun 13, 2019
Key facts
- NPI
- 1609435593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- Practice address
- 4625 Sundance Cir
Cumming, GA 30028-3416 - Phone
- (404) 316-9959
- NPI assigned
- Jun 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
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 |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | |||
| Nurse's Aide |
376K00000X | GA | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Cumming | Direct |
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.