Provider Demographics
NPI:1679000459
Name:MCCART, JAMIE NICOLE (NP)
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:NICOLE
Last Name:MCCART
Suffix:
Gender:
Credentials:NP
Other - Prefix:MS
Other - First Name:JAMIE
Other - Middle Name:NICOLE
Other - Last Name:MAUNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:155 GREENSBORO RD
Mailing Address - Street 2:
Mailing Address - City:EATONTON
Mailing Address - State:GA
Mailing Address - Zip Code:31024-6042
Mailing Address - Country:US
Mailing Address - Phone:762-366-0100
Mailing Address - Fax:
Practice Address - Street 1:11 BUFORD VILLAGE WAY STE 137
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-8845
Practice Address - Country:US
Practice Address - Phone:770-726-8721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN213689363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily