MEDICARE: MISS JAMIE M MCCLURE NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	AL1786	FL
2	363LF0000X	Family Nurse Practitioner	RN240864	GA

General Provider Information

NPI Number	:	1518176262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JAMIE M MCCLURE NP

Provider Business Mailing Address
First Line	:	3804 NORTH AVE
Second Line	:
City	:	POWDER SPRINGS
State	:	GA
Zip	:	30127-2219
Country	:	US
Telephone Number	:	770-597-6899
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 GREYSTONE POWER BLVD
Second Line	:
City	:	DALLAS
State	:	GA
Zip	:	30157-8297
Country	:	US
Telephone Number	:	470-267-1540
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	03/01/2022

Similar Medicare Providers

1437710126 — REBECCA MARIE OZIMEK CNM
Practice Location Address:

120 GREYSTONE POWER BLVD STE 100
DALLAS, GA
30157-8297

Practice Phone: 678-945-8345
Practice Fax: 470-956-1180

1831308675 — OBOSA OSAWE MD
Practice Location Address:

120 GREYSTONE POWER BLVD STE 100
DALLAS, GA
30157-8297

Practice Phone: 678-945-8345
Practice Fax:

1255785366 — SHANNON ASHLEY INCI M.D.
Practice Location Address:

120 GREYSTONE POWER BLVD STE 100
DALLAS, GA
30157-8297

Practice Phone: 678-945-8345
Practice Fax: 770-956-1180

1700464294 — MICHAEL GARCIA MD
Practice Location Address:

120 GREYSTONE POWER BLVD STE 100
DALLAS, GA
30157-8297

Practice Phone: 678-945-8345
Practice Fax:

1831185867 — DR. ROGER W SCOTT JR. O.D.
Practice Location Address:

4075 MARIETTA HWY , 110
DALLAS, GA
30157-3315

Practice Phone: 770-445-9866
Practice Fax: 770-445-8244

1649244997 — MRS. ERIN R COSTANZO APRN FNPC
Practice Location Address:

7869 VILLA RICA HWY
DALLAS, GA
30157

Practice Phone: 770-459-4411
Practice Fax: 770-459-2424

Directions to “ MISS JAMIE M MCCLURE NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.