Provider Demographics
NPI:1447305354
Name:CHAUSMER, JAIMIE K (NP)
Entity type:Individual
Prefix:MRS
First Name:JAIMIE
Middle Name:K
Last Name:CHAUSMER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:JAIMIE
Other - Middle Name:
Other - Last Name:KLEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:980 JOHNSON FERRY RD
Mailing Address - Street 2:STE 520
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1626
Mailing Address - Country:US
Mailing Address - Phone:404-303-3320
Mailing Address - Fax:404-303-3464
Practice Address - Street 1:980 JOHNSON FERRY RD
Practice Address - Street 2:STE 520
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1626
Practice Address - Country:US
Practice Address - Phone:404-303-3320
Practice Address - Fax:404-303-3464
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN144252363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA555503858AMedicaid
GA555503858FMedicaid
GA555503858FMedicaid
GA202I508458Medicare PIN
GAQ11489Medicare UPIN