Individual provider Active NPI

Janice L West, PA

  • Medical Physician Assistant
  • Jasper, GA
National Provider Identifier
1811993041
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
003557 Issued in GA
Practice address
1020 J L White Dr
Suite 160
Jasper, GA 30143-4908
Phone
(706) 692-0603
Fax
(678) 581-7109
NPI assigned
Jun 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 003557 GA Primary

Addresses

Primary practice location

1020 J L White Dr
Suite 160
Jasper, GA 30143-4908

Mailing address

1700 Hospital South Dr
Ste 300
Austell, GA 30106-8116
Phone (770) 944-2830

Other identifiers 1

IdentifierTypeStateIssuer
1811993041OtherGANPI

Other names 1

  • Jan L. West Other name

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
003557GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Georgia Oncology Centers, PC Current Accepting new patients

Locations

1700 Hospital South Dr
Ste 300
Austell, GA 30106
Phone (770) 944-2830

144 Bill Carruth Pkwy
Ste 3100
Hiram, GA 30141
Phone (678) 363-1940

1020 J L White Dr
Ste 160
Jasper, GA 30143
Phone (706) 692-0603

705 Dallas Hwy
Ste 203A
Villa Rica, GA 30180
Phone (770) 456-3641

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1811993041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HOSPITAL SOUTH DR",
            "address_2": "STE 300",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301068116",
            "telephone_number": "770-944-2830",
            "fax_number": "678-581-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 J L WHITE DR",
            "address_2": "SUITE 160",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301434908",
            "telephone_number": "706-692-0603",
            "fax_number": "678-581-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "JANICE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "003557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811993041",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAN",
            "last_name": "WEST",
            "middle_name": "L.",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jasper, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.