Healthcare Provider Details
I. General information
NPI: 1811578289
Provider Name (Legal Business Name): JAMIE MICHELLE HILL CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/17/2021
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1875 CENTURY BLVD NE STE 150
ATLANTA GA
30345-3323
US
IV. Provider business mailing address
1875 CENTURY BLVD NE STE 150
ATLANTA GA
30345-3323
US
V. Phone/Fax
- Phone: 404-633-4595
- Fax:
- Phone: 404-633-4595
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | RN279020 |
| License Number State | GA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0200X |
| Taxonomy | Pediatric Nurse Practitioner |
| License Number | APRN-NP279020 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: