Jessica Leann Nieves, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

008628 Issued in GA

Practice address

165 N Park TRL
Stockbridge, GA 30281

Phone

(770) 506-1800

NPI assigned

Dec 14, 2017

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

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

Specialty

Physician Assistant

Education

Lincoln Memorial University Medical Department, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Nexus Pain Center of Columbus LLCGroup PAC ID 8426050246, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• The Nexus Pain Center of Columbus LLC

  • Pain Medicine (Anesthesiology) Physician
  • Columbus, GA
  • NPI 1942359906
  Medicare reassignment Care Compare group NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  GA

  Medicare reassignment

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549152000000",
    "number": "1942716840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 COBBLESTONE BLVD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817306",
            "telephone_number": "334-791-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N PARK TRL",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "30281",
            "telephone_number": "770-506-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 Augusta West Pkwy",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309091807",
            "country_code": "US",
            "telephone_number": "706-410-1202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "JESSICA",
        "middle_name": "LEANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-14",
        "last_updated": "2019-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "008628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anum Amir Niazi, M.D.
• Makeda Nichols, CCMA
• Charolette Nicholson, BSN, RN
• Charlyne Anne Arellano Nicolas, DNP, APRN, FNP-BC
• Juan Nieto
• Nizar a. Tejani MD. PC
• Priscilla Njagi, PHARMACIST
• Vida Njoku
• Noah'S Ark Urgent Care LLC
• Leo O Noragbon, MD, MBA

• Physician Assistant in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.