Jill Pavesich

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN164363 Issued in GA

Practice address

2400 Bellevue Rd
Suite 26
Dublin, GA 31021-2885

Phone

(478) 272-8266

Fax

(478) 272-7552

NPI assigned

Jan 25, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1942747274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 MINTER BLUE SPRINGS RD",
            "city": "ROCKLEDGE",
            "state": "GA",
            "postal_code": "304541228",
            "telephone_number": "478-697-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BELLEVUE RD",
            "address_2": "SUITE 26",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212885",
            "telephone_number": "478-272-8266",
            "fax_number": "478-272-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVESICH",
        "first_name": "JILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN164363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathways Management
• Laura Lee Roberts Patisaul, M. ED., CCC-SLP
• Jami M Patti, P.T.
• Rhonda S. Paulk, FNP
• Charles J. Paullisky, O.D.
• Shelia S Payne, APRN
• PDK Radiology LLC
• Cristal Kaye Peacock, LPN
• Rose Pearson, LPC
• April Peebles

• Family Nurse Practitioner in Dublin, GA
• Providers in Dublin, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.