Individual provider Active NPI

Jennifer Newsom Hallford, APRN

  • Family Nurse Practitioner
  • Cumming, GA
National Provider Identifier
1689079584
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP192628 Issued in GA
Practice address
1400 Northside Forsyth Dr Ste 250
Cumming, GA 30041-7701
Phone
(770) 889-7118
Fax
(770) 844-7835
NPI assigned
Nov 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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 APRN-NP192628 GA Primary

Addresses

Primary practice location

1400 Northside Forsyth Dr Ste 250
Cumming, GA 30041-7701

Mailing address

1400 Northside Forsyth Dr Ste 250
Cumming, GA 30041-7701
Phone (770) 889-7118

Other identifiers 4

IdentifierTypeStateIssuer
003153670GMedicaidGA
003153670FMedicaidGA
003153670EMedicaidGA
RN192628OtherGANP LICENSE NUMBER

Other names 1

  • Jennifer Lee Newsom Former name

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
I20150121001627 GA Practitioner - Nurse Practitioner 2961726906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SC House Calls IncGroup PAC ID 6800994807, 445 clinicians
Chronic Disease Management of Georgia LLCGroup PAC ID 7618306721, 76 clinicians

Practice addresses (Care Compare)

624 Ellis St
Augusta, GA 30901-1434
Phone (800) 491-0909

704 Breedlove Dr
Suite a
Monroe, GA 30655-2054
Phone (888) 772-0076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN192628GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SC House Calls Inc CurrentSince Feb 9, 2026 Accepting new patients
SC House Calls Inc CurrentSince Feb 9, 2026 Accepting new patients
Chronic Disease Management of Georgia, LLC CurrentSince Jan 27, 2025 Accepting new patients

Locations

1109 Medical Center Dr
Ste 2A
Augusta, GA 30909
Phone (706) 901-4242

704 Breedlove Dr
#A
Monroe, GA 30655
Phone (888) 772-0076

111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1689079584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NORTHSIDE FORSYTH DR STE 250",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417701",
            "telephone_number": "770-889-7118",
            "fax_number": "770-844-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NORTHSIDE FORSYTH DR STE 250",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417701",
            "telephone_number": "770-889-7118",
            "fax_number": "770-844-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLFORD",
        "first_name": "JENNIFER",
        "middle_name": "NEWSOM",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP192628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003153670G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003153670F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003153670E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE NUMBER",
            "identifier": "RN192628",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "NEWSOM",
            "middle_name": "LEE",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.