Active NPI
Olson Medical, LLC
- Family Nurse Practitioner
- Jefferson, GA
National Provider Identifier
1740551738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 143016NP
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.