Individual provider Active NPI

Jillian Goro, NP

  • Family Nurse Practitioner
  • Alpharetta, GA
National Provider Identifier
1710640925
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN323546 Issued in GA
Practice address
2570 Holcomb Bridge Rd Ste 110
Alpharetta, GA 30022-5415
Phone
(770) 650-8980
Fax
(770) 650-5589
NPI assigned
Oct 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 348684 NY
Family Nurse Practitioner 363LF0000X RN323546 GA Primary

Addresses

Primary practice location

2570 Holcomb Bridge Rd Ste 110
Alpharetta, GA 30022-5415

Mailing address

2570 Holcomb Bridge Rd Ste 110
Alpharetta, GA 30022-5415
Phone (770) 650-8980

Other practice location 1

1468 Madison Ave
New York, NY 10029-6508
Phone (212) 241-6500

Other practice location 2

1790 Broadway Ste 1802
New York, NY 10019-1471
Phone (212) 530-0624

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgoro539061@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220929000637 NY Practitioner - Nurse Practitioner 6709262769 Reassigns benefits to 1 organization
I20240105003033 GA Practitioner - Nurse Practitioner 6709262769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

2570 Holcomb Bridge Rd
Alpharetta, GA 30022-5415

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
348684NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC Current Accepting new patients
Mount Sinai School of Medicine CurrentSince Oct 1, 2022 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jan 1, 2024 Accepting new patients
Mount Sinai School of Medicine PastSince Oct 1, 2022 Accepting new patients

Locations

2570 Holcomb Bridge Rd
Ste 110
Alpharetta, GA 30022
Phone (770) 650-8980

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1155 Northern Blvd
Manhasset, NY 11030
Phone (516) 407-4000

5 Columbus Cir
Ste 1802
New York, NY 10019
Phone (212) 530-0624

1790 Broadway
Ste 1802
New York, NY 10019
Phone (212) 530-0621

Organizations & group practices 4

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": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1710640925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 HOLCOMB BRIDGE RD STE 110",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300225415",
            "telephone_number": "770-650-8980",
            "fax_number": "770-650-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 HOLCOMB BRIDGE RD STE 110",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300225415",
            "telephone_number": "770-650-8980",
            "fax_number": "770-650-5589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1468 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296508",
            "country_code": "US",
            "telephone_number": "212-241-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1790 Broadway Ste 1802",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100191471",
            "country_code": "US",
            "telephone_number": "212-530-0624",
            "fax_number": "212-867-4353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORO",
        "first_name": "JILLIAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348684",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN323546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgoro539061@directwellstar.org",
            "affiliation": "N",
            "address_1": "2570 Holcomb Bridge Rd Ste 110",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300225415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.