Jade Asante-Selby, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN271129 Issued in GA

Practice address

3027 Jim Moore Rd
Dacula, GA 30019-1144

Phone

(770) 339-0129

NPI assigned

Sep 28, 2020

Last updated

Aug 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Green Willow Pediatrics

  • Pediatrics Physician
  • Gainesville, GA
  • NPI 1174837298
  NPD (past)

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1851908446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3027 JIM MOORE RD",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191144",
            "telephone_number": "770-339-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3027 JIM MOORE RD",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191144",
            "telephone_number": "770-339-0129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3030 McEver Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305045538",
            "country_code": "US",
            "telephone_number": "678-450-0747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASANTE-SELBY",
        "first_name": "JADE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN271129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anacaona Nedge Antoine
• Weks Wekongho Anyu-Chita, NP
• Rami Badr Arfoosh, M.D.
• Leona Beth Arnold, PA-C
• Amaka Gloria Asaije
• Jordan Ashford
• Lyna Ashu
• Ana C Asis, MD
• Atlanta Comfort and Concierge Care, LLC
• Atlanta Wound Care Specialist, LLC (Atlanta Wound Care)

• Family Nurse Practitioner in Dacula, GA
• Providers in Dacula, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.