Jacobie J Dardy

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

24090770 Issued in GA

Practice address

8 Lagrange St
Newnan, GA 30263-2604

Phone

(706) 518-8901

NPI assigned

May 17, 2024

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 names 1

• Jacobie J Dardy Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1780433110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 FRANK HALL JR ST # 52",
            "city": "WEST POINT",
            "state": "GA",
            "postal_code": "318335234",
            "telephone_number": "706-518-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LAGRANGE ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302632604",
            "telephone_number": "706-518-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARDY",
        "first_name": "JACOBIE",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "GA",
            "license": "24090770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACOBIE",
            "last_name": "DARDY",
            "middle_name": "J",
            "credential": "JACOBIE DARDY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christopher Patrick Daisy, D.O.
• Fatima Dalwai, MD
• Perry S Damian, MD
• Lela Daniell
• Kolisha Dee Daniels, NP
• Brittany Moore Darnell, CRNA
• Margaret Darracott
• Dartmouth Medical LLC
• Lauren Daugherty
• Karla Daum, COTA/L

• Community Health Worker in Newnan, GA
• Providers in Newnan, GA by specialty
• Community Health Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.