Organization Active NPI

Olson Medical, LLC

  • Family Nurse Practitioner
  • Jefferson, GA
National Provider Identifier
1740551738
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
143016NP Issued in GA
Legal business name
OLSON MEDICAL, LLC
Practice address
43 Hill Top Dr
Jefferson, GA 30549-1261
Phone
(770) 653-5211
NPI assigned
Jan 23, 2012
Last updated
Jan 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Authorized official

Name
Mrs. Sheryl A Olson, FNP-BC
Title
President
Phone
(770) 653-5211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 143016NP GA Primary

Addresses

Primary practice location

43 Hill Top Dr
Jefferson, GA 30549-1261

Mailing address

43 Hill Top Dr
Jefferson, GA 30549-1261
Phone (770) 653-5211

National Provider Directory

National Provider Directory

Locations

43 Hill Top Dr
Jefferson, GA 30549
Phone (770) 653-5211

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1740551738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 HILL TOP DR",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305491261",
            "telephone_number": "770-653-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 HILL TOP DR",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305491261",
            "telephone_number": "770-653-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSON MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-653-5211",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "143016NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.