Active NPI
Tasha N Schultz, NP
- Family Nurse Practitioner
- Richmond Hill, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN220642
- Practice address
- 2324 US Highway 17
Richmond Hill, GA 31324-3398 - Phone
- (912) 756-2531
- NPI assigned
- Jan 7, 2009
- Last updated
- Sep 12, 2016
- 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 | RN220642 | GA | Primary |
Addresses
Primary practice location
2324 US Highway 17
Richmond Hill, GA 31324-3398
Mailing address
100 Tupelo TRL
Richmond Hill, GA 31324-6911
Phone (225) 603-9535
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201316101 | Medicaid | TX | |
| 201316102 | Medicaid | TX | |
| 201316103 | Medicaid | TX |
Other names 1
- Tasha N Jackson
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, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1215 US Hwy 80 E
Suite 700
Pooler, GA 31322-9566
Phone (912) 998-0040
340 Eisenhower Dr
BLDG 500
Savannah, GA 31406-1600
Phone (912) 348-3818
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN220642 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guardian Biologics LLC | Current | Accepting new patients | |
| Wound Care Clinic - Esu, Inc. | Current | Accepting new patients | |
| Health Services of Central Georgia, Inc | Current | Accepting new patients | |
| Regional Healthcare Group LLC | Current | Accepting new patients | |
| Mobile Wound Care Solutions LLC | Current | Accepting new patients | |
| Hyperbaric & Woundcare Inc | Current | Accepting new patients | |
| Central Georiga Fertility Institute | Past | Accepting new patients |
Locations
770 Pine St
Ste 140
Macon, GA 31201
Phone (478) 633-1821
1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706
1215 US Highway 80 E
Ste 700
Pooler, GA 31322
Phone (912) 998-0040
Organizations & group practices 8
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.
-
- Clinic/Center
- Pooler, GA
- NPI 1154319408
-
dba ProCare Wellness Institute of Savannah
- Durable Medical Equipment & Medical Supplies
- Savannah, GA
- NPI 1861129587
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Hazlehurst, GA
- NPI 1780105296
-
dba Atrium Health Navicent Medical Group
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1184679482
-
- Specialist
- Mount Juliet, TN
- NPI 1033890876
-
- Reproductive Endocrinology Physician
- Macon, GA
- NPI 1447390901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1679710040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 TUPELO TRL",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313246911",
"telephone_number": "225-603-9535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2324 US HIGHWAY 17",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313243398",
"telephone_number": "912-756-2531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "TASHA",
"middle_name": "N",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-07",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN220642",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201316101",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201316102",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201316103",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TASHA",
"last_name": "JACKSON",
"middle_name": "N",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Richmond Hill, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.