Active NPI
Jamie Shuler
- Adult Companion
- Locust Grove, GA
National Provider Identifier
1720701170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 1013 Saint Augustine Pkwy
Locust Grove, GA 30248-4351 - Phone
- (770) 568-5018
- NPI assigned
- Sep 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | |||
| Adult Companion | 372600000X | Primary |
Addresses
Primary practice location
1013 Saint Augustine Pkwy
Locust Grove, GA 30248-4351
Mailing address
1013 Saint Augustine Pkwy
Locust Grove, GA 30248-4351
Phone (770) 568-5018
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 485991 | Medicaid | GA | |
| 62412 | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Acesangels19@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1720701170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 SAINT AUGUSTINE PKWY",
"city": "LOCUST GROVE",
"state": "GA",
"postal_code": "302484351",
"telephone_number": "770-568-5018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 SAINT AUGUSTINE PKWY",
"city": "LOCUST GROVE",
"state": "GA",
"postal_code": "302484351",
"telephone_number": "770-568-5018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULER",
"first_name": "JAMIE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-21",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "485991",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "62412",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Acesangels19@gmail.com",
"affiliation": "N",
"address_1": "1013 Saint Augustine Pkwy",
"city": "Locust Grove",
"state": "GA",
"country_code": "US",
"postal_code": "302484351",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Locust Grove, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.