Jill J Overcash, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

051340 Issued in GA

Practice address

2000 Riverside Parkway
Suite 207
Lawrenceville, GA 30043

Phone

(678) 646-0404

Fax

(678) 646-0202

NPI assigned

Jan 20, 2006

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

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jovercash6725@choa.gadirect.net

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.

• Jill Overcash LLC

  dba All About Kids Pediatrics

  • Pediatrics Physician
  • Lawrenceville, GA
  • NPI 1568664563
  NPD (past) Authorized official
• Aakp-Mac

  • Pediatrics Physician
  • Lawrenceville, GA
  • NPI 1851126130
  NPD
• Scottish Rite Children's Medical Center

  dba Children's Healthcare of Atlanta at Scottish Rite

  • Pediatric Hematology & Oncology Physician
  • Atlanta, GA
  • NPI 1184779332
  NPD (past)
• Scottish Rite Childrens Medical Ctr

  dba Children's Healthcare of Atlanta at Scottish Rite

  • Children's Hospital
  • Atlanta, GA
  • NPI 1922178789
  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1922088343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 RIVERSIDE PARKWAY",
            "address_2": "SUITE 207",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30043",
            "telephone_number": "678-646-0404",
            "fax_number": "678-646-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 RIVERSIDE PARKWAY",
            "address_2": "SUITE 207",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30043",
            "telephone_number": "678-646-0404",
            "fax_number": "678-646-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERCASH",
        "first_name": "JILL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "051340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000955974A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ifeyinwa Doris Otiji
• Sidney Otiwu, PT, DPT
• Otlife and Cams Therapy LLC
• Gnimbin Albert Ouattara
• Outreach Psychiatric Associates, LLC
• Amanda Marie Overton, ACNP-BC
• Shaliyah Ovid
• Lawanda Owens, APC
• Marcelle M. Owens, M.D.
• Sarah Anne Owens, CNM

• Pediatrics Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.