Jamie Couch, FNP
Individual provider Active NPI Family Nurse Practitioner · Cordele, GA
NPI 1659923282 · NPPES record last updated Feb 4, 2021
Key facts
- NPI
- 1659923282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN220361 (GA)
- Practice address
- 216 Hospital Dr
Cordele, GA 31015-3275 - Phone
- (229) 276-2000
- NPI assigned
- Jul 13, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital Physician Services - Southeast Professional Corporation
Practice addresses (Care Compare)
1900 Tebeau St
Waycross, GA 31501-6357
Phone (912) 283-3030
Hospital & facility affiliations
- Memorial Satilla Health
- HCA Florida Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190913002927 | GA | Practitioner - Nurse Practitioner | 1951630086 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN220361 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Physician Services - Southeast Professional Corporation | Current |
Accepting new patients | |
| Crisp Regional Hospital, Inc | Current |
Accepting new patients | |
| Crisp Regional Hospital Inc | Current |
Accepting new patients | |
| Oconee Family Medicine Center, PC | Current |
Accepting new patients |
Locations
902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100
216 Hospital Dr
Cordele, GA 31015
Phone (229) 271-9330
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN220361 | GA | Yes |
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
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
- Natalie Olivia Ford Cozart
- CRH Vein Center, LLC
- Crisp County Board of Health
- Crisp County Emergency Medical Services
- Crisp County School System
All providers in Cordele, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.