Active NPI
Aneisha B Jacobs, RN, WHNP-BC
- Women's Health Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1720784846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN290215
- Practice address
- 1924 Cliff Valley Way NE
Atlanta, GA 30329-2421 - Phone
- (404) 728-7900
- NPI assigned
- Jan 31, 2023
- Last updated
- Jan 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | RN290215 | GA | Primary |
Addresses
Primary practice location
1924 Cliff Valley Way NE
Atlanta, GA 30329-2421
Mailing address
7517 Spoleto Loop
Fairburn, GA 30213-6486
Phone (678) 770-4808
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
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN290215 | GA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Feminist Women's Health Center | Women's Health | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
dba Cliff Valley Clinic
- General Practice Physician
- Atlanta, GA
- NPI 1770697104
Women's Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1720784846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7517 SPOLETO LOOP",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "302136486",
"telephone_number": "678-770-4808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1924 CLIFF VALLEY WAY NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303292421",
"telephone_number": "404-728-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "ANEISHA",
"middle_name": "B",
"credential": "RN, WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-31",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "GA",
"license": "RN290215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.