Individual provider Active NPI

Jazmin Abuaf

  • Family Nurse Practitioner
  • Norcross, GA
National Provider Identifier
1861288359
Registry record updated Apr 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN325719 Issued in GA
Practice address
6131 S Norcross Tucker Rd Ste 6
Norcross, GA 30093-5536
Phone
(704) 756-9279
NPI assigned
Apr 19, 2025
Last updated
Apr 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 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 RN325719 GA Primary

Addresses

Primary practice location

6131 S Norcross Tucker Rd Ste 6
Norcross, GA 30093-5536

Mailing address

6131 S Norcross Tucker Rd Ste 6
Norcross, GA 30093-5536
Phone (704) 756-9279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11516 Pitts Blvd
Tanner, AL 35671-3209

6131 S Norcross Tucker Rd
Suite 6
Norcross, GA 30093-5522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN325719GAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1745020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745020800000",
    "number": "1861288359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6131 S NORCROSS TUCKER RD STE 6",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300935536",
            "telephone_number": "704-756-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6131 S NORCROSS TUCKER RD STE 6",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300935536",
            "telephone_number": "704-756-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUAF",
        "first_name": "JAZMIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-19",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN325719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

Verify at the official NPI Registry.