Individual provider Active NPI

Jasmine Gause, FNP-C

  • Family Nurse Practitioner
  • Acworth, GA
National Provider Identifier
1861936213
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0216908 Issued in GA
Practice address
3451 Cobb Pkwy NW
Suite 4
Acworth, GA 30101-5766
Phone
(678) 574-5678
Fax
(678) 574-5605
NPI assigned
Dec 5, 2016
Last updated
Dec 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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 F0216908 GA Primary

Addresses

Primary practice location

3451 Cobb Pkwy NW
Suite 4
Acworth, GA 30101-5766

Mailing address

3451 Cobb Pkwy NW
Suite 4
Acworth, GA 30101-5766
Phone (678) 574-5678

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F0216908GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Chiropractic Center LLC Past Accepting new patients
North Cobb Spine and Nerve Institute, LLC PastSince Mar 4, 2017 Accepting new patients

Organizations & group practices 2

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": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1861936213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 COBB PKWY NW",
            "address_2": "SUITE 4",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015766",
            "telephone_number": "678-574-5678",
            "fax_number": "678-574-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 COBB PKWY NW",
            "address_2": "SUITE 4",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015766",
            "telephone_number": "678-574-5678",
            "fax_number": "678-574-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUSE",
        "first_name": "JASMINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F0216908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.