Bessie Martin-Jackson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN154263 Issued in GA

Practice address

1957 Lakeside Pkwy Ste 500
Tucker, GA 30084-5859

Phone

(770) 270-9898

Fax

(770) 270-9896

NPI assigned

Apr 27, 2017

Last updated

May 3, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in GA, CA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amity Care, LLCGroup PAC ID 8224179650, 5 clinicians

Ennoble HC DMV LLCGroup PAC ID 9032517925, 112 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bessie.martin-jackson.1@13869.direct.athenahealth.com
• Direct secure messaging: bessie.martin-jackson.1@14883.direct.athenahealth.com
• Direct secure messaging: bessie.martinjackson.p1@direct.alegiscare.nextgenshare.com
• FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/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.

• Amity Care, LLC

  • Community Based Hospice Care Agency
  • Marietta, GA
  • NPI 1942534722
  Medicare reassignment Care Compare group NPD
• Ennoble HC DMV LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Fulton, MD
  • NPI 1104492115

  GA

  Medicare reassignment Care Compare group
• Mid-South Home Care Services, LLC

  dba Empatia Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Alpharetta, GA
  • NPI 1154207769
  Medicare reassignment NPD
• Dispatchhealth-Ca, PC

  • Emergency Medicine Physician
  • Tustin, CA
  • NPI 1639752553
  Medicare reassignment NPD
• Ennoble HC DMV II LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Silver Spring, MD
  • NPI 1134002900

  GA

  Medicare reassignment
• Ennoble HC DMV III LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Silver Spring, MD
  • NPI 1922981695

  GA

  Medicare reassignment
• California PHS PC

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1649932781
  NPD
• J M Geiss DO Apc

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1063825289
  NPD
• Crossroads Hospice of Atlanta LLC

  • Community Based Hospice Care Agency
  • Tucker, GA
  • NPI 1699715045
  NPD (past)
• Professional Portable Radiologic Services Inc.

  • Physiological Laboratory
  • Houston, TX
  • NPI 1457087991
  NPD (past)

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1881129807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4476 YORKDALE DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354262",
            "telephone_number": "470-273-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 LAKESIDE PKWY STE 500",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845859",
            "telephone_number": "770-270-9898",
            "fax_number": "770-270-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-JACKSON",
        "first_name": "BESSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN154263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danice B. Mariney, RN IBCLC
• Mark Lynn OD & Associates PC (Visionworks)
• Lisa A Marquardt, PAC
• Joseph Louis Marrocco, RPH
• Robert W Marsh, D.O.
• Katelyn Martin
• Kristi Martin
• Ola Jenelle Martin, MD
• Aditya Marwaha, D.O.
• Lacy Elizabeth Mason, PT, DPT

• Family Nurse Practitioner in Tucker, GA
• Providers in Tucker, 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 May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.