Jaime Neill
Individual provider Active NPI Attendant Care Provider · Martin, GA
NPI 1962053173 · NPPES record last updated Sep 28, 2019
Key facts
- NPI
- 1962053173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- 17139 Highway 17
Martin, GA 30557-3324 - Phone
- (706) 244-0854
- NPI assigned
- Sep 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Yes |
Addresses
Primary practice location
17139 Highway 17
Martin, GA 30557-3324
Mailing address
17139 Highway 17
Martin, GA 30557-3324
Phone (706) 244-0854
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000 | Other | DEPARTMENT OF VA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | other |
Other providers in Martin, GA
- Jennifer Larue Davitt
- Karen S.P. Eschedor
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- Justin Ludwig Ludwig
- Terry Morris
- Vikki Paese
- Kimberly Petenbrink
- Shepherd'S Hill Academy, Inc
- Shepherd'S Hill Academy, Inc
- Whitley, LLC
All providers in Martin, GA · Attendant Care Provider in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.