Individual provider Active NPI

Jennifer Dudley Filer, NP-C

  • Internal Medicine Physician
  • Marietta, GA
National Provider Identifier
1609446590
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
RN224563 Issued in GA
Practice address
2655 Dallas Hwy SW Ste 340
Marietta, GA 30064-7518
Phone
(678) 797-9800
Fax
(678) 797-9801
NPI assigned
Jul 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X RN224563 GA Primary

Addresses

Primary practice location

2655 Dallas Hwy SW Ste 340
Marietta, GA 30064-7518

Mailing address

2655 Dallas Hwy SW Ste 340
Marietta, GA 30064-7518
Phone (678) 797-9800

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
I20211209000848 GA Practitioner - Nurse Practitioner 5193115921 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cobb Internal Medicine Associates Single Specialty CurrentSince Sep 4, 2021 Accepting new patients

Locations

2655 Dallas Hwy SW
Ste 340
Marietta, GA 30064
Phone (678) 797-9800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBCGAA

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1609446590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 DALLAS HWY SW STE 340",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300647518",
            "telephone_number": "678-797-9800",
            "fax_number": "678-797-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 DALLAS HWY SW STE 340",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300647518",
            "telephone_number": "678-797-9800",
            "fax_number": "678-797-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILER",
        "first_name": "JENNIFER",
        "middle_name": "DUDLEY",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "RN224563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.