Individual provider Active NPI

Jessica Haney, FNP-BC

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1659804573
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN209349 Issued in GA
Practice address
310 Hospital Dr Ste 210
Macon, GA 31217-8026
Phone
(478) 787-6255
NPI assigned
Apr 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN209349 GA Primary

Addresses

Primary practice location

310 Hospital Dr Ste 210
Macon, GA 31217-8026

Mailing address

310 Hospital Dr Ste 210
Macon, GA 31217-8026
Phone (478) 787-6255

Other practice location 1

6501 Peake Rd
Suite 400
Macon, GA 31210-8042
Phone (478) 787-6255

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
I20171215002090 GA Practitioner - Nurse Practitioner 6002174299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Spine and Orthopedics, LLCGroup PAC ID 0244549558, 4 clinicians

Practice addresses (Care Compare)

310 Hospital Dr
Suite 210
Macon, GA 31217-8026
Phone (478) 719-8895

Hospital & facility affiliations

  • Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164
  • Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as group
Quality
95.04
Improvement activities
40
Cost
72.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN209349GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Spine & Orthopedics LLC CurrentSince Oct 16, 2017 Accepting new patients

Locations

6501 Peake Rd
Ste 400
Macon, GA 31210
Phone (478) 477-0966

310 Hospital Dr
Ste 210
Macon, GA 31217
Phone (478) 742-3704

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

109 Osigian Blvd
Ste 200
Warner Robins, GA 31088
Phone (478) 272-2707

Interoperability endpoints

  • Direct secure messaging: jessica.haney@gso.eclinicaldirectplus.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1659804573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 HOSPITAL DR STE 210",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312178026",
            "telephone_number": "478-787-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 HOSPITAL DR STE 210",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312178026",
            "telephone_number": "478-787-6255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6501 Peake Rd",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312108042",
            "country_code": "US",
            "telephone_number": "478-787-6255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANEY",
        "first_name": "JESSICA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN209349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.