Individual provider Active NPI

Jason Anthony Hill, MED

  • Professional Counselor
  • Kingsland, GA
National Provider Identifier
1881683720
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
003437 Issued in GA
Practice address
100 Mariners Dr Ste D
Kingsland, GA 31548-6667
Phone
(912) 222-3851
Fax
(912) 275-7553
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 003437 GA Primary

Addresses

Primary practice location

100 Mariners Dr Ste D
Kingsland, GA 31548-6667

Mailing address

147 Colonial Way
Brunswick, GA 31520-2155
Phone (912) 222-3851

Other practice location 1

4019 Hwy 40 East
St Marys, GA 31558
Phone (912) 882-6511

Other practice location 2

507 Ocean Blvd
St Simons Island, GA 31522-4824
Phone (912) 222-3851

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220001680 GA Practitioner - Mental Health Counselor 2668816497 Practice locations: Kingsland, GA; St Simons Island, GA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Mariners Dr
Suite D
Kingsland, GA 31548-6667
Phone (912) 222-3851

507 Ocean Blvd
Suite 208
St Simons Island, GA 31522-4819
Phone (912) 222-3851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
003437GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jason a. Hill Professional Counselor Professional PastSince Jan 1, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1881683720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 COLONIAL WAY",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315202155",
            "telephone_number": "912-222-3851",
            "fax_number": "912-275-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MARINERS DR STE D",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486667",
            "telephone_number": "912-222-3851",
            "fax_number": "912-275-7553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4019 Hwy 40 East",
            "address_purpose": "LOCATION",
            "city": "St Marys",
            "state": "GA",
            "postal_code": "31558",
            "country_code": "US",
            "telephone_number": "912-882-6511",
            "fax_number": "912-673-6145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "507 Ocean Blvd",
            "address_purpose": "LOCATION",
            "city": "St Simons Island",
            "state": "GA",
            "postal_code": "315224824",
            "country_code": "US",
            "telephone_number": "912-222-3851",
            "fax_number": "912-275-7553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "JASON",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "MED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "003437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsland, GA

Sources for this page

Verify at the official NPI Registry.