Individual provider Active NPI

Jalmec Carter- Holifield, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Grayson, GA
National Provider Identifier
1932402153
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN278489 Issued in GA
Practice address
1637 Athens Hwy Ste a
Grayson, GA 30017-1768
Phone
(678) 344-8268
NPI assigned
Dec 9, 2010
Last updated
Apr 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN278489 GA Primary

Addresses

Primary practice location

1637 Athens Hwy Ste a
Grayson, GA 30017-1768

Mailing address

1637 Athens Hwy Ste a
Grayson, GA 30017-1768
Phone (678) 644-8268

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
I20250416002122 GA Practitioner - Nurse Practitioner 3577086404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Hope Health and Healing Center LLCGroup PAC ID 5597103739, 3 clinicians

Practice addresses (Care Compare)

2330 Scenic Hwy S
Snellville, GA 30078-3115
Phone (404) 492-7015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN278489GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Health and Healing Center LLC CurrentSince Mar 15, 2024 Accepting new patients

Locations

2330 Scenic Hwy S
Snellville, GA 30078
Phone (404) 492-7015

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.

NPI Registry JSON

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1932402153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 ATHENS HWY STE A",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300171768",
            "telephone_number": "678-644-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 ATHENS HWY STE A",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300171768",
            "telephone_number": "678-344-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER- HOLIFIELD",
        "first_name": "JALMEC",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-09",
        "last_updated": "2022-04-20",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN278489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayson, GA

Sources for this page

Verify at the official NPI Registry.