Individual provider Active NPI

Julie Oliver, PA-C

  • Physician Assistant
  • Albany, GA
National Provider Identifier
1871604355
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2200 Issued in GA
Practice address
2701 Meredyth Dr
Albany, GA 31707-2267
Phone
(229) 883-7010
Fax
(229) 435-4022
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2200 GA Primary

Addresses

Primary practice location

2701 Meredyth Dr
Albany, GA 31707-2267

Mailing address

2701 Meredyth Dr
Albany, GA 31707-2267
Phone (229) 883-7010

Other practice location 1

80 West Main St.
Butler, GA 31006
Phone (479) 862-5044 ext. 201

Other practice location 2

116 W Church St
Americus, GA 31709-3508
Phone (229) 410-4990

Other identifiers 3

IdentifierTypeStateIssuer
970030145OtherGARR MCARE
104591848AMedicaidGA
7648423OtherGAAETNA

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
I20110329000916 GA Practitioner - Physician Assistant 2163605171 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

101 Yorktown Dr
Fayetteville, GA 30214-1578

101 Yorktown Dr
Suite 100
Fayetteville, GA 30214-7663
Phone (770) 460-4285

2701 Meredyth Dr
Albany, GA 31707-2267
Phone (229) 883-7010

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2200GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Sumter Medical Center, Inc. CurrentSince May 1, 2010 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Apr 21, 2020 Accepting new patients
Albany Area Primary Health Care, Inc. Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

2701 Meredyth Dr
Albany, GA 31707
Phone (229) 883-7010

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

116 W Church St
Americus, GA 31709
Phone (229) 410-4990

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

Interoperability endpoints

  • Direct secure messaging: julie.oliver.1@8042.direct.athenahealth.com

Organizations & group practices 5

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 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1871604355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 MEREDYTH DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072267",
            "telephone_number": "229-883-7010",
            "fax_number": "229-435-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 MEREDYTH DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072267",
            "telephone_number": "229-883-7010",
            "fax_number": "229-435-4022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 West Main St.",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "GA",
            "postal_code": "31006",
            "country_code": "US",
            "telephone_number": "479-862-5044 x201",
            "fax_number": "478-862-3879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 W Church St",
            "address_purpose": "LOCATION",
            "city": "Americus",
            "state": "GA",
            "postal_code": "317093508",
            "country_code": "US",
            "telephone_number": "229-410-4990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "JULIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "2200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE",
            "identifier": "970030145",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104591848A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7648423",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.