Vanessa Jimenez, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN236784 Issued in GA

Practice address

2336 Wisteria Dr Ste 110
Snellville, GA 30078-6162

Phone

(470) 481-7803

Fax

(833) 941-5113

NPI assigned

Nov 10, 2020

Last updated

Feb 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vanessa.jimenez.1@27555.direct.athenahealth.com

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.

• Vivasalud Clinic 1 LLC

  • Family Medicine Physician
  • Snellville, GA
  • NPI 1386361756
  Medicare reassignment NPD Authorized official
• Lifeline Primary Care, Inc

  • Primary Care Clinic/Center
  • Lilburn, GA
  • NPI 1639426984
  Medicare reassignment NPD
• Lifeline Primary Care, Inc

  dba Lifeline Primary Care

  • Family Medicine Physician
  • Duluth, GA
  • NPI 1104292630
  NPD

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771113600000",
    "number": "1760084206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 DOGWOOD RD STE B200 #2064",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300447213",
            "telephone_number": "470-342-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 WISTERIA DR STE 110",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786162",
            "telephone_number": "470-481-7803",
            "fax_number": "833-941-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "VANESSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2026-02-15",
        "certification_date": "2026-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN236784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003257681C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Scott Jennings, P.T.
• Richard Jeon, NP
• Oliviah Jett
• Page Jian
• Angel Louis Jimenez, D.P.M.
• Nidha Jivan, PA
• JKL Hearing Center, Inc. (Miracle Ear)
• Runa Jno Baptiste, LCSW
• Jody Amazon PC (Ahava Healthcare)
• John E. West, M.D., P.C.

• Family Nurse Practitioner in Snellville, GA
• Providers in Snellville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.