Active NPI
Jessy Abi Mathews, MSN, FNP-C, APRN
- Family Nurse Practitioner
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- GAA-NP001482
- Practice address
- 200 S Enota Dr NE Ste 100
Gainesville, GA 30501-3466 - Phone
- (770) 848-7884
- NPI assigned
- Jul 5, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5015335 | NC | |
| Family Nurse Practitioner | 363LF0000X | 3011452 | KY | |
| Family Nurse Practitioner | 363LF0000X | GAA-NP001482 | GA | Primary |
Addresses
Primary practice location
200 S Enota Dr NE Ste 100
Gainesville, GA 30501-3466
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8720
Other practice location 1
401 E Chestnut St Unit 310
Louisville, KY 40202
Phone (502) 588-4710
Other practice location 2
11727 Oak Bay Drive
Luisville, KY 40245
Phone (502) 819-7932
Other practice location 3
11727 Oak Bay Drive
Luisville, KY 40245
Phone (502) 819-7932
Other names 1
- Mrs. Jessy Mepurathu Philip
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 S Enota Dr NE
Suite 100
Gainesville, GA 30501-3466
Phone (770) 534-2020
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.46 of 100
- Quality
- 85.33
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5015335 | NC | MD | Nurse Practitioner |
| GAA-NP001482 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Heart Institute LLC | Current | Accepting new patients | |
| Northeast Georgia Heart Center | Current | Accepting new patients |
Locations
200 S Enota Dr NE
Ste 100
Gainesville, GA 30501
Phone (770) 219-0950
200 S Enota Dr NE
Ste 200
Gainesville, GA 30501
Phone (770) 534-0991
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Gainesville, GA
- NPI 1477976520
-
- Cardiovascular Disease Physician
- Gainesville, GA
- NPI 1508812421
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1669993259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742616",
"telephone_number": "770-219-8720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S ENOTA DR NE STE 100",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013466",
"telephone_number": "770-848-7884"
}
],
"practiceLocations": [
{
"address_1": "401 E Chestnut St Unit 310",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "40202",
"country_code": "US",
"telephone_number": "502-588-4710",
"fax_number": "502-588-4771",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11727 Oak Bay Drive",
"address_purpose": "LOCATION",
"city": "Luisville",
"state": "KY",
"postal_code": "40245",
"country_code": "US",
"telephone_number": "502-819-7932",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11727 Oak Bay Drive",
"address_purpose": "LOCATION",
"city": "Luisville",
"state": "KY",
"postal_code": "40245",
"country_code": "US",
"telephone_number": "502-819-7932",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHEWS",
"first_name": "JESSY",
"middle_name": "ABI",
"name_prefix": "Mrs.",
"credential": "MSN, FNP-C, APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-05",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5015335",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3011452",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "GAA-NP001482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSY",
"last_name": "PHILIP",
"middle_name": "MEPURATHU",
"prefix": "MRS.",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.
- 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.