Individual provider Active NPI

Jeanette Lynn Hale, FNP-C

  • Family Nurse Practitioner
  • Baxley, GA
National Provider Identifier
1821407289
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN154708 Issued in GA
Practice address
1636 Hatch Pkwy S
Baxley, GA 31513-4376
Phone
(912) 705-5656
Fax
(478) 237-9138
NPI assigned
Aug 10, 2014
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN154708 GA Primary

Addresses

Primary practice location

1636 Hatch Pkwy S
Baxley, GA 31513-4376

Mailing address

1636 Hatch Pkwy S Ste F
Baxley, GA 31513-4376
Phone (912) 705-5656

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161020001407 GA Practitioner - Nurse Practitioner 9537447859 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN154708GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Georgia Healthcare Center, Inc. Current Accepting new patients
East Georgia Healthcare Center, Inc. CurrentSince May 29, 2025 Accepting new patients
East Georgia Healthcare Center, Inc. CurrentSince May 29, 2025 Accepting new patients

Locations

1636 Hatch Pkwy S
Baxley, GA 31513
Phone (912) 705-5656

1636 Hatch Pkwy S
Ste F
Baxley, GA 31513

215 N Coleman St
Swainsboro, GA 30401
Phone (478) 237-2638

Interoperability endpoints

  • Direct secure messaging: jeanette.hale.1@11298.direct.athenahealth.com

Organizations & group practices 4

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": "1407628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1821407289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 HATCH PKWY S STE F",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315134376",
            "telephone_number": "912-705-5656",
            "fax_number": "912-705-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 HATCH PKWY S",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315134376",
            "telephone_number": "912-705-5656",
            "fax_number": "478-237-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "JEANETTE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-10",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN154708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxley, GA

Sources for this page

Verify at the official NPI Registry.