Active NPI
Jasmine Theresa Konn, M.D.
- Family Medicine Physician
- Alpharetta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 078783
- Practice address
- 3400 Old Milton Pkwy Ste C270
Alpharetta, GA 30005 - Phone
- (770) 442-1911
- Fax
- (770) 442-1911
- NPI assigned
- Jun 11, 2013
- 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 Medicine Physician | 207Q00000X | 078783 | GA | Primary |
Addresses
Primary practice location
3400 Old Milton Pkwy Ste C270
Alpharetta, GA 30005
Mailing address
3400 Old Milton Pkwy Ste C270
Alpharetta, GA 30005-4414
Phone (770) 442-1911
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 Northside Forsyth Dr
Suite 450
Cumming, GA 30041-6012
Phone (770) 442-1911
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N/A | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Medical Group, P.C. | Family Medicine | Current | Accepting new patients |
Locations
3905 Brookside Pkwy
Ste 300
Alpharetta, GA 30022
Phone (770) 442-9111
3400 Old Milton Pkwy
Ste C270
Alpharetta, GA 30005
Phone 7704421911233
1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350
1800 Northside Forsyth Dr
Ste 450
Cumming, GA 30041
Phone (678) 947-6440
Interoperability endpoints
- jasminekonn@napc.allscriptsdirect.net
- https://fhir4.healow.com/fhir/r4/DIJIBA
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.
-
dba North Atlanta Primary Care, P.C.
- Family Medicine Physician
- Alpharetta, GA
- NPI 1235296054
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital Cherokee
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
-
dba Northside Hospital Forsyth
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
-
dba Northside Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
dba WellStar North Fulton Hospital
- General Acute Care Hospital
- Roswell, GA
- NPI 1750312997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534204800000",
"number": "1821436957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 OLD MILTON PKWY STE C270",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054414",
"telephone_number": "770-442-1911",
"fax_number": "770-663-8905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 OLD MILTON PKWY STE C270",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "30005",
"telephone_number": "770-442-1911",
"fax_number": "770-442-1911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONN",
"first_name": "JASMINE",
"middle_name": "THERESA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-11",
"last_updated": "2018-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "078783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.