Individual provider Active NPI

Jessica Brinson Norris

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1962277905
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN241683 Issued in GA
Practice address
5400 Riverside Dr Ste 202
Macon, GA 31210-0818
Phone
(478) 787-0059
Fax
(855) 428-4597
NPI assigned
Nov 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN241683 GA Primary

Addresses

Primary practice location

5400 Riverside Dr Ste 202
Macon, GA 31210-0818

Mailing address

117 Fox Rd
Macon, GA 31217-2229
Phone (478) 447-4337

Other practice location 1

100 Tommy Stalnaker Dr Ste 100A
Warner Robins, GA 31088-1402
Phone (478) 787-0059

Other names 1

  • Jessica Nicole Brinson Former name

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
I20231204000645 GA Practitioner - Nurse Practitioner 8527416494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avilys-Sleep and EegGroup PAC ID 7719303072, 10 clinicians

Practice addresses (Care Compare)

100 Tommy Stalnaker Dr
Suite 100 a
Warner Robins, GA 31088-1402
Phone (855) 228-4597

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN241683GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avilys-Sleep & Eeg CurrentSince Nov 22, 2023 Accepting new patients
Ga Diagnostic Providers LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

5400 Riverside Dr
Ste 202
Macon, GA 31210
Phone (478) 787-0059

2300 Northside Xing
#B
Macon, GA 31210
Phone (855) 228-4597

5400 Riverside Dr
Ste 101
Macon, GA 31210

100 Tommy Stalnaker Dr
Ste 100A
Warner Robins, GA 31088
Phone (478) 787-0059

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1962277905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 FOX RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312172229",
            "telephone_number": "478-447-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 RIVERSIDE DR STE 202",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312100818",
            "telephone_number": "478-787-0059",
            "fax_number": "855-428-4597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Tommy Stalnaker Dr Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310881402",
            "country_code": "US",
            "telephone_number": "478-787-0059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "JESSICA",
        "middle_name": "BRINSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN241683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BRINSON",
            "middle_name": "NICOLE",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.