Individual provider Active NPI

Cecilia Abigail Jones-Asgill

  • Primary Care Nurse Practitioner
  • Stockbridge, GA
National Provider Identifier
1689131823
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F04180596 Issued in GA
Practice address
1001 Lake Oconee CT
Stockbridge, GA 30281-5973
Phone
(678) 615-4329
NPI assigned
Feb 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X F04180596 GA Primary

Addresses

Primary practice location

1001 Lake Oconee CT
Stockbridge, GA 30281-5973

Mailing address

1001 Lake Oconee CT
Stockbridge, GA 30281-5973
Phone (678) 615-4329

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
I20200103002191 GA Practitioner - Nurse Practitioner 3274967997 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F04180596GAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RST Medical Group CurrentSince Oct 7, 2019 Accepting new patients

Locations

4150 Snapfinger Woods Dr
Ste 208
Decatur, GA 30035
Phone (404) 422-0027

4150 Snapfinger Woods Dr
Ste 120
Decatur, GA 30035
Phone (678) 674-6755

Organizations & group practices 1

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": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1689131823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 LAKE OCONEE CT",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815973",
            "telephone_number": "678-615-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LAKE OCONEE CT",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815973",
            "telephone_number": "678-615-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-ASGILL",
        "first_name": "CECILIA",
        "middle_name": "ABIGAIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "F04180596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.