Active NPI
Jessica N Dunn, ARNP
- Pediatric Nurse Practitioner
- Villa Rica, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN281925
- Practice address
- 626 Dallas Hwy
Villa Rica, GA 30180 - Phone
- (770) 459-9378
- Fax
- (770) 459-8613
- NPI assigned
- Oct 12, 2012
- Last updated
- Jul 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9347511 | FL | |
| Pediatric Nurse Practitioner | 363LP0200X | RN281925 | GA | Primary |
Addresses
Primary practice location
626 Dallas Hwy
Villa Rica, GA 30180
Mailing address
626 Dallas Hwy
Villa Rica, GA 30180-1209
Phone (770) 459-9378
Other practice location 1
51 Hiram Dr Bldg B
Hiram, GA 30141-1844
Phone (678) 945-8300
Other practice location 2
410 N Main St
Suite A & B
Chiefland, FL 32626-0866
Phone (352) 493-7274
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jdunn521270@directwellstar.org | Health Information Exchange (HIE) |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Westcare Villa Rica Pediatrics | Past | Accepting new patients |
Locations
51 Hiram Dr
Bldg B
Hiram, GA 30141
Phone (678) 945-8300
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
Organizations & group practices 3
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.
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
dba Westcare Pediatrics and Adult Medicine
- Pediatrics Physician
- Villa Rica, GA
- NPI 1487742532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1952653040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 DALLAS HWY",
"city": "VILLA RICA",
"state": "GA",
"postal_code": "301801209",
"telephone_number": "770-459-9378",
"fax_number": "770-459-8613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 DALLAS HWY",
"city": "VILLA RICA",
"state": "GA",
"postal_code": "30180",
"telephone_number": "770-459-9378",
"fax_number": "770-459-8613"
}
],
"practiceLocations": [
{
"address_1": "51 Hiram Dr Bldg B",
"address_purpose": "LOCATION",
"city": "Hiram",
"state": "GA",
"postal_code": "301411844",
"country_code": "US",
"telephone_number": "678-945-8300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "410 N Main St",
"address_2": "Suite A & B",
"address_purpose": "LOCATION",
"city": "Chiefland",
"state": "FL",
"postal_code": "326260866",
"country_code": "US",
"telephone_number": "352-493-7274",
"fax_number": "352-463-2726",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNN",
"first_name": "JESSICA",
"middle_name": "N",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-12",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9347511",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "GA",
"license": "RN281925",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jdunn521270@directwellstar.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "51 Hiram Dr Bldg B",
"city": "Hiram",
"state": "GA",
"country_code": "US",
"postal_code": "301411844",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Villa Rica, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.