Individual provider Active NPI

Jose Dannylo Mejia Jr., FNP

  • Family Nurse Practitioner
  • Blairsville, GA
National Provider Identifier
1649875311
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN187555 Issued in GA
Practice address
63 Plott St Ste a
Blairsville, GA 30512-3666
Phone
(706) 745-2968
Fax
(706) 970-4201
NPI assigned
Dec 1, 2020
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN187555 GA
Family Nurse Practitioner 363LF0000X RN187555 GA Primary
Family Nurse Practitioner 363LF0000X F10200522 GA

Addresses

Primary practice location

63 Plott St Ste a
Blairsville, GA 30512-3666

Mailing address

143 Grace Valley Way
Blairsville, GA 30512-4947
Phone (706) 970-1222

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
I20210608003203 GA Practitioner - Nurse Practitioner 4688074917 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN187555GAMDNurse Practitioner
F10200522GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chatuge Regional Hospital Inc CurrentSince Feb 1, 2021 Accepting new patients
Union County Hospital Authority Current Accepting new patients
Union County Hospital Authority CurrentSince Feb 1, 2021 Accepting new patients
Union County Hospital Authority CurrentSince Feb 1, 2021 Accepting new patients
Grace Pediatrics and Wellness, LLC CurrentSince Nov 1, 2024 Accepting new patients
Chatuge Regional Hospital Inc CurrentSince Feb 1, 2021 Accepting new patients
Chatuge Regional Hospital Inc Past Accepting new patients

Locations

35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812

63 Plott St
Ste A
Blairsville, GA 30512
Phone (706) 745-2968

110 S Main St
Hiawassee, GA 30546
Phone (706) 896-2222

1155 Main St
Young Harris, GA 30582
Phone (706) 439-6873

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1649875311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 GRACE VALLEY WAY",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305124947",
            "telephone_number": "706-970-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 PLOTT ST STE A",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123666",
            "telephone_number": "706-745-2968",
            "fax_number": "706-970-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "JOSE",
        "middle_name": "DANNYLO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-01",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN187555",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN187555",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F10200522",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, GA

Sources for this page

Verify at the official NPI Registry.