Individual provider Active NPI

Jessica Wheeler, LMFT

  • Marriage & Family Therapist
  • Nashville, GA
National Provider Identifier
1801282553
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001214 Issued in GA
Practice address
104 North Dogwood Drive
Nashville, GA 31639-3724
Phone
(229) 237-0655
Fax
(229) 543-1008
NPI assigned
Apr 9, 2015
Last updated
Oct 8, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT001214 GA Primary

Addresses

Primary practice location

104 North Dogwood Drive
Nashville, GA 31639-3724

Mailing address

104 North Dogwood Drive
Nashville, GA 31639-3724
Phone (229) 237-0655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240909001453 GA Practitioner - Marriage and Family Therapist 5193168797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

427 E Dennis Ave
Nashville, GA 31639-2504
Phone (229) 686-6449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica D Wheeler LMFT Inc Marriage & Family Therapist CurrentSince Jan 1, 2020 Accepting new patients

Locations

427 E Dennis Ave
Nashville, GA 31639
Phone (229) 237-0655

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1801282553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 NORTH DOGWOOD DRIVE",
            "city": "NASHVILLE",
            "state": "GA",
            "postal_code": "316393724",
            "telephone_number": "229-237-0655",
            "fax_number": "229-543-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 NORTH DOGWOOD DRIVE",
            "city": "NASHVILLE",
            "state": "GA",
            "postal_code": "316393724",
            "telephone_number": "229-237-0655",
            "fax_number": "229-543-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "JESSICA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, GA

Sources for this page

Verify at the official NPI Registry.