Individual provider Active NPI

Neahriah Jael, RN

  • Registered Nurse
  • Conyers, GA
National Provider Identifier
1720724305
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN284107 Issued in GA
Practice address
2212 Surrey TRL SE
Conyers, GA 30013-2220
Phone
(770) 854-1761
NPI assigned
May 6, 2022
Last updated
May 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN284107 GA Primary

Addresses

Primary practice location

2212 Surrey TRL SE
Conyers, GA 30013-2220

Mailing address

2212 Surrey TRL SE
Conyers, GA 30013-2220
Phone (770) 854-1761

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN284107GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Health Services CurrentSince May 16, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1720724305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 SURREY TRL SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132220",
            "telephone_number": "770-854-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 SURREY TRL SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132220",
            "telephone_number": "770-854-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEL",
        "first_name": "NEAHRIAH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN284107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.

Verify at the official NPI Registry.