Individual provider Active NPI

Marjani Jean-Philippe

  • Advanced Practice Midwife
  • Fayetteville, GA
National Provider Identifier
1902267123
Registry record updated Jul 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN217045 Issued in GA
Practice address
1279 Highway 54 W
Suite 220
Fayetteville, GA 30214-4550
Phone
(770) 991-2200
Fax
(770) 716-8672
NPI assigned
Mar 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X RN217045 GA Primary

Addresses

Primary practice location

1279 Highway 54 W
Suite 220
Fayetteville, GA 30214-4550

Mailing address

1279 Highway 54 W
Suite 220
Fayetteville, GA 30214-4550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20181011001118 NJ Practitioner - Certified Nurse Midwife (CNM) 4183976699 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN217045GAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Services Corporation CurrentSince Jun 1, 2020 Accepting new patients
Neighborhood Health Services Corporation CurrentSince Jun 1, 2020 Accepting new patients
DHP of New Jersey PA CurrentSince Sep 1, 2018 Accepting new patients
Southern Crescent Women's Healthcare PC PastSince Aug 1, 2011 Accepting new patients
Women's Community Care, PC Past Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

184 1st St
Elizabeth, NJ 07206
Phone (908) 355-4459

1700 Myrtle Ave
#58
Plainfield, NJ 07063
Phone (908) 753-6401

Interoperability endpoints

  • Direct secure messaging: marjani.jeanphilippe.p1@direct.nhscnj.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/13669/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469232000000",
    "number": "1902267123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1279 HIGHWAY 54 W",
            "address_2": "SUITE 220",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1279 HIGHWAY 54 W",
            "address_2": "SUITE 220",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144550",
            "telephone_number": "770-991-2200",
            "fax_number": "770-716-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN-PHILIPPE",
        "first_name": "MARJANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN217045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.