Active NPI
Jeffery Adam Hemphill, FNP-C
- Primary Care Nurse Practitioner
- Rome, GA
National Provider Identifier
1639943764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- GAA-NP001855
- Practice address
- 14 John Maddox Dr NW
Rome, GA 30165-1450 - Phone
- (256) 605-4343
- NPI assigned
- Nov 9, 2023
- Last updated
- Nov 22, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-123660 | AL | |
| Primary Care Nurse Practitioner | 363LP2300X | 1-123660 | AL | |
| Primary Care Nurse Practitioner | 363LP2300X | GAA-NP001855 | GA | Primary |
Addresses
Primary practice location
14 John Maddox Dr NW
Rome, GA 30165-1450
Mailing address
528 County Road 514
Rainsville, AL 35986-4133
Phone (256) 605-4343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-123660 | AL | MD | Primary Care Nurse Practitioner |
| GAA-NP001855 | GA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amarabalan Rajendran, MD, PC | Current | Accepting new patients |
Locations
14 John Maddox Dr NW
Rome, GA 30165
Phone (706) 295-7320
3 Central Plz
Rome, GA 30161
Phone (516) 301-8155
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Rome, GA
- NPI 1215482625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700611200000",
"number": "1639943764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "528 COUNTY ROAD 514",
"city": "RAINSVILLE",
"state": "AL",
"postal_code": "359864133",
"telephone_number": "256-605-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 JOHN MADDOX DR NW",
"city": "ROME",
"state": "GA",
"postal_code": "301651450",
"telephone_number": "256-605-4343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEMPHILL",
"first_name": "JEFFERY",
"middle_name": "ADAM",
"name_prefix": "Mr.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-09",
"last_updated": "2023-11-22",
"certification_date": "2023-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-123660",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "AL",
"license": "1-123660",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "GA",
"license": "GAA-NP001855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.