Individual provider Active NPI

Jason Cucchiara, NP

  • Family Nurse Practitioner
  • Rome, GA
National Provider Identifier
1770095416
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5011438 Issued in NC
Practice address
304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone
(706) 509-5000
NPI assigned
Nov 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5011438 NC
Family Nurse Practitioner 363LF0000X 5011438 NC Primary

Addresses

Primary practice location

304 Turner McCall Blvd SW
Rome, GA 30165-5621

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

1328 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-4221
Phone (770) 382-0029

Other practice location 2

330 Turner McCall Blvd SW
Suite 2000
Rome, GA 30165-5630
Phone (706) 291-5360

Other practice location 3

1025 N Main St
Cedartown, GA 30125-2036
Phone (770) 748-5212

Other practice location 4

11766 Highway 27
Summerville, GA 30747-5989
Phone (706) 857-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221221001162 GA Practitioner - Nurse Practitioner 9830459312 Reassigns benefits to 5 organizations
I20250520000861 TX Practitioner - Nurse Practitioner 9830459312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians
Floyd Physicians LLCGroup PAC ID 6406852375, 62 clinicians

Practice addresses (Care Compare)

23910 Katy Fwy
Suite 201
Katy, TX 77494-1477
Phone (713) 486-9800

304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-5000

Hospital & facility affiliations

  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847
  • Atrium Health Floyd Medical Center Hospital, Rome, GA, CCN 110054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5011438NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Jun 23, 2025 Accepting new patients
Floyd Healthcare Management Inc CurrentSince May 1, 2024 Accepting new patients
Floyd Healthcare Management Inc Family CurrentSince May 1, 2024 Accepting new patients
Georgia Hospitalists Group, LLC CurrentSince Oct 11, 2023 Accepting new patients
Etowah Emergency Physicians, LLC CurrentSince Sep 15, 2023 Accepting new patients
Floyd Physicians, LLC CurrentSince Jan 1, 2023 Accepting new patients
Chattooga River Physicians, LLC CurrentSince Jan 13, 2024 Accepting new patients
Georgia Hospitalists Group, LLC Current Accepting new patients
Ut Physicians Nurse Practitioner CurrentSince Jun 23, 2025 Accepting new patients

Locations

251 Highway 53 E
Calhoun, GA 30701
Phone (706) 602-8200

1328 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (770) 382-0029

1025 N Main St
Cedartown, GA 30125
Phone (770) 748-5212

2360 Rockmart Hwy
Cedartown, GA 30125
Phone (770) 748-2500

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

1650 Chattahoochee Dr
Rockmart, GA 30153
Phone (770) 684-6100

302 Shorter Ave NW
Rome, GA 30165
Phone (706) 291-3700

420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278

330 Turner McCall Blvd SW
Ste 2000
Rome, GA 30165
Phone (706) 235-6555

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

11766 Highway 27
Summerville, GA 30747
Phone (706) 857-1010

13583 Highway 27
Trion, GA 30753
Phone (706) 238-8360

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6410 Fannin St
#135
Houston, TX 77030

23910 Katy Fwy
Ste 201
Katy, TX 77494
Phone (713) 486-7900

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

Interoperability endpoints

  • Direct secure messaging: jcucchiara@brbj.gwaydirect.com
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: jcucchiara@direct.nrh.nchie.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1770095416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 TURNER MCCALL BLVD SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301655621",
            "telephone_number": "706-509-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1328 Joe Frank Harris Pkwy SE",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "301204221",
            "country_code": "US",
            "telephone_number": "770-382-0029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Turner McCall Blvd SW",
            "address_2": "Suite 2000",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301655630",
            "country_code": "US",
            "telephone_number": "706-291-5360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 N Main St",
            "address_purpose": "LOCATION",
            "city": "Cedartown",
            "state": "GA",
            "postal_code": "301252036",
            "country_code": "US",
            "telephone_number": "770-748-5212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11766 Highway 27",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "GA",
            "postal_code": "307475989",
            "country_code": "US",
            "telephone_number": "706-857-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUCCHIARA",
        "first_name": "JASON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-03",
        "last_updated": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011438",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.