Active NPI
Mary Lana Jarrell, APRN
- Family Nurse Practitioner
- Sylvania, GA
National Provider Identifier
1770665697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN044752
- Practice address
- 416 Pine St
Sylvania, GA 30467-2036 - Phone
- (912) 564-2182
- NPI assigned
- Oct 19, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN044752 | GA | Primary |
Addresses
Primary practice location
416 Pine St
Sylvania, GA 30467-2036
Mailing address
416 Pine St
Sylvania, GA 30467-2036
Phone (912) 564-2182
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN044752 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Screven County Health Department | Past | Accepting new patients | |
| Screven County Health Department | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Public Health or Welfare Agency
- Sylvania, GA
- NPI 1619606738
-
- Public Health or Welfare Agency
- Sylvania, GA
- NPI 1992756522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770665697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 PINE ST",
"city": "SYLVANIA",
"state": "GA",
"postal_code": "304672036",
"telephone_number": "912-564-2182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 PINE ST",
"city": "SYLVANIA",
"state": "GA",
"postal_code": "304672036",
"telephone_number": "912-564-2182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARRELL",
"first_name": "MARY",
"middle_name": "LANA",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN044752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sylvania, GA
- Healthstat on-Site Clinic-Milliken Longleaf
- Margaret Ann Hollingsworth, RN
- Valarie Hopkins
- Miranda Jackson
- Sharon A. Jacobs, LPN
- Jenkins County Hospital LLC (Optim Medical Center - Jenkins)
- Jenkins County Hospital, LLC (Optim Surgical Associates - Sylvania)
- Latrell Jenkins, C.N.A.
- Mary Beth Jones-Godbee, RN
- William Kent, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.