Individual provider Active NPI

Jennifer Aileen Thaxton, FNP-C

  • Family Nurse Practitioner
  • Perry, GA
National Provider Identifier
1821813130
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN207147 Issued in GA
Practice address
1117 Morningside Dr
Perry, GA 31069-2905
Phone
(478) 224-1976
NPI assigned
Nov 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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 RN207147 GA Primary

Addresses

Primary practice location

1117 Morningside Dr
Perry, GA 31069-2905

Mailing address

1117 Morningside Dr
Perry, GA 31069-2905
Phone (478) 224-1976

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
I20250611002483 GA Practitioner - Nurse Practitioner 7214447929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
N.T. Cardiovascular Center, PCGroup PAC ID 7618034265, 10 clinicians

Practice addresses (Care Compare)

1117 Morningside Dr
Perry, GA 31069-2905
Phone (478) 224-1976

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN207147GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
N.T. Cardiovascular Center, PC CurrentSince Mar 28, 2025 Accepting new patients
Renal Physicians of Georgia PC Past Accepting new patients
Georgia Cardiology Center, LLC PastSince Nov 24, 2024 Accepting new patients
Phoebe Physician Group, Inc Past Accepting new patients

Locations

415 E 4th Ave
Cordele, GA 31015
Phone (229) 457-3325

770 Pine St
Ste 310
Macon, GA 31201
Phone (478) 741-1118

1117 Morningside Dr
Perry, GA 31069
Phone (478) 287-6049

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDDGAA
  • Direct secure messaging: jthaxton3017487@carolinashealthcaresystem.direct-ci.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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1821813130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 MORNINGSIDE DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692905",
            "telephone_number": "478-224-1976",
            "fax_number": "478-224-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 MORNINGSIDE DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692905",
            "telephone_number": "478-224-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAXTON",
        "first_name": "JENNIFER",
        "middle_name": "AILEEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-21",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN207147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, GA

Sources for this page

Verify at the official NPI Registry.