Individual provider Active NPI

Jessica Nichole Doyle, AGACNP-BC

  • Nurse Practitioner
  • Rome, GA
National Provider Identifier
1871965368
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN196909 Issued in GA
Practice address
19 Redmond Rd NW
Rome, GA 30165-1533
Phone
(762) 235-3960
Fax
(706) 236-5246
NPI assigned
Oct 23, 2015
Last updated
Apr 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN196909 GA Primary

Addresses

Primary practice location

19 Redmond Rd NW
Rome, GA 30165-1533

Mailing address

221 Technology Pkwy NW
Rome, GA 30165-1369
Phone (706) 295-5331

Other names 1

  • Jessica Nichole Halder Other name

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
I20151119000405 GA Practitioner - Nurse Practitioner 5991005175 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harbin Clinic LLCGroup PAC ID 0446154231, 238 clinicians

Practice addresses (Care Compare)

101 Redmond Rd
Rome, GA 30165-1535
Phone (762) 235-1760

14 Cherokee Rd
Cedartown, GA 30125-4381
Phone (770) 749-5400

150 Gentilly Blvd
Cartersville, GA 30120-8522
Phone (470) 490-7470

1825 Martha Berry Blvd NW
Rome, GA 30165-1625
Phone (762) 235-2495

19 Redmond Rd NW
Rome, GA 30165-1533
Phone (762) 235-3960

504 Redmond Rd NW
Rome, GA 30165-1416
Phone (762) 235-3130

550 Redmond Rd NW
Rome, GA 30165-1416
Phone (762) 235-3340

855 Curtis Pkwy SE
Calhoun, GA 30701-3688
Phone (706) 624-5180

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.23 of 100Reported as group
Quality
65.74
Promoting interoperability
100
Improvement activities
40
Cost
78.37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harbin Clinic, LLC CurrentSince Oct 26, 2015 Accepting new patients
Harbin Clinic, LLC Current Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Nurse Practitioner CurrentSince Sep 1, 2018 Accepting new patients
Harbin Clinic, LLC CurrentSince Oct 26, 2015 Accepting new patients

Locations

855 Curtis Pkwy SE
Calhoun, GA 30701
Phone (706) 624-5100

150 Gentilly Blvd
Cartersville, GA 30120
Phone (678) 719-7000

14 Cherokee Rd
Cedartown, GA 30125
Phone (770) 748-2567

550 Redmond Rd NW
Rome, GA 30165
Phone (762) 235-3550

172 Three Rivers Dr NE
Rome, GA 30161
Phone (706) 234-6905

315 W 10th St NE
Ste 105
Rome, GA 30165
Phone (706) 291-1270

20 Riverbend Dr SW
Rome, GA 30161
Phone (706) 238-5465

19 Redmond Rd NW
Rome, GA 30165
Phone (706) 233-8504

221 Technology Pkwy NW
Rome, GA 30165
Phone (762) 235-1000

1825 Martha Berry Blvd NW
Rome, GA 30165
Phone (706) 238-8073

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

101 Redmond Rd NW
Rome, GA 30165
Phone (706) 290-1330

12541 Highway 27
Summerville, GA 30747
Phone (706) 857-4050

Interoperability endpoints

  • Direct secure messaging: jdoyle913538@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: jessica.doyle.1@1498.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1871965368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 TECHNOLOGY PKWY NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651369",
            "telephone_number": "706-295-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 REDMOND RD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651533",
            "telephone_number": "762-235-3960",
            "fax_number": "706-236-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "JESSICA",
        "middle_name": "NICHOLE",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN196909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HALDER",
            "middle_name": "NICHOLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.