Active NPI
Jamie Couch, FNP
- Family Nurse Practitioner
- Cordele, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN220361
- Practice address
- 216 Hospital Dr
Cordele, GA 31015-3275 - Phone
- (229) 276-2000
- NPI assigned
- Jul 13, 2019
- Last updated
- Feb 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN220361 | GA | Primary |
Addresses
Primary practice location
216 Hospital Dr
Cordele, GA 31015-3275
Mailing address
PO Box 5007
Cordele, GA 31010-5007
Phone (229) 276-3100
Other practice location 1
800 W Thomas St
Milledgeville, GA 31061-2674
Phone (467) 453-9346
Other practice location 2
902 N 7th St
Cordele, GA 31015-3234
Phone (229) 276-3100
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Tebeau St
Waycross, GA 31501-6357
Phone (912) 283-3030
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oconee Family Medicine Center, PC | Current | Accepting new patients | |
| Crisp Regional Hospital, Inc | Current | Accepting new patients | |
| Crisp Regional Hospital Inc | Current | Accepting new patients | |
| Hospital Physician Services - Southeast Professional Corporation | Current | Accepting new patients |
Locations
216 Hospital Dr
Cordele, GA 31015
Phone (229) 271-9330
902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100
800 W Thomas St
Milledgeville, GA 31061
Phone (478) 453-9346
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JAFJAD
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
-
dba Crisp Regional Hospital
- General Acute Care Hospital
- Cordele, GA
- NPI 1700851649
-
- Family Medicine Physician
- Milledgeville, GA
- NPI 1578657821
-
dba Crisp Regional LTC Pharmacy
- Long Term Care Pharmacy
- Cordele, GA
- NPI 1679836142
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Satilla Health
- Rural Acute Care Hospital
- Waycross, GA
- NPI 1922530468
-
dba HCA Florida Memorial Hospital
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1447206438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1659923282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5007",
"city": "CORDELE",
"state": "GA",
"postal_code": "310105007",
"telephone_number": "229-276-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 HOSPITAL DR",
"city": "CORDELE",
"state": "GA",
"postal_code": "310153275",
"telephone_number": "229-276-2000"
}
],
"practiceLocations": [
{
"address_1": "800 W Thomas St",
"address_purpose": "LOCATION",
"city": "Milledgeville",
"state": "GA",
"postal_code": "310612674",
"country_code": "US",
"telephone_number": "467-453-9346",
"fax_number": "478-453-0205",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "902 N 7th St",
"address_purpose": "LOCATION",
"city": "Cordele",
"state": "GA",
"postal_code": "310153234",
"country_code": "US",
"telephone_number": "229-276-3100",
"fax_number": "229-276-2186",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COUCH",
"first_name": "JAMIE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-13",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN220361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordele, GA
- Cordele Health and Rehabilitation Center, Inc.
- Cordele Internal Medicine
- Cordele Optical Disp., Inc.
- Cordele Personal Care Home
- Monae Marie Cost, MD
- Natalie Olivia Ford Cozart, D.M.D.
- CRH Vein Center, LLC
- Crisp County Board of Health
- Crisp County Emergency Medical Services
- Crisp County School System
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.