Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jamie B Raisor, ARNP

Individual provider Nurse Practitioner · NPI 1235392424

Jamie B Raisor, ARNP is a Nurse Practitioner in Lagrange, Georgia. Qualified in 2002, 24 years ago. Practices with Surgical and Cosmetic Dermatology, P. C., a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Texas.

Years since qualifying
24
Licensed in
GA, TX
In the registry since
2008
Specialties on file
2
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

1075 Lafayette Pkwy Ste 240
Lagrange, GA 30241-3734
Phone: (770) 400-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1615 Highway 34 E Ste B, Newnan, GA 30265-1325 — (770) 400-8400

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN-NP145004 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP127054 (TX)

Record details

NPI number1235392424
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedJuly 8, 2008
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026
Mailing addressPo Box 23329, New York, NY 10087-3329

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Surgical And Cosmetic Dermatology, P. C. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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