Individual provider Active NPI

Julie Hooks, NP

  • Adult Health Nurse Practitioner
  • Tifton, GA
National Provider Identifier
1891850731
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R118682 Issued in GA
Practice address
1489 Kennedy Rd
Tifton, GA 31794-4159
Phone
(229) 391-9931
Fax
(229) 391-9961
NPI assigned
Dec 22, 2006
Reactivated
Jul 24, 2007
Last updated
Nov 10, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R118682 GA Primary

Addresses

Primary practice location

1489 Kennedy Rd
Tifton, GA 31794-4159

Mailing address

1489 Kennedy Rd
Tifton, GA 31794-4159
Phone (229) 391-9931

Other identifiers 1

IdentifierTypeStateIssuer
00856974BMedicaidGA

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
I20100222000578 GA Practitioner - Nurse Practitioner 8820132301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Primecare, LLCGroup PAC ID 2466648803, 2 clinicians

Practice addresses (Care Compare)

1489 Kennedy Rd
Tifton, GA 31794-4159
Phone 2293919931105

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R118682GAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Primecare, LLC CurrentSince Apr 6, 2013 Accepting new patients

Locations

1489 Kennedy Rd
Tifton, GA 31794
Phone (229) 391-9931

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, 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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1891850731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1489 KENNEDY RD",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944159",
            "telephone_number": "229-391-9931",
            "fax_number": "229-391-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 KENNEDY RD",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944159",
            "telephone_number": "229-391-9931",
            "fax_number": "229-391-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOKS",
        "first_name": "JULIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2011-11-10",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "R118682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00856974B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tifton, GA

Sources for this page

Verify at the official NPI Registry.