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

Jasmine Dixon

Individual provider Gerontology Nurse Practitioner · NPI 1467390559

Jasmine Dixon is a Nurse Practitioner in Waynesboro, Georgia. Qualified in 2025, 1 year ago. Practices with Ultra Health Providers II LLC, a 36-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2026

Practice location Address checks out

115 Brentwood Dr
Waynesboro, GA 30830-4519
Phone: (731) 394-1145
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN-NP292883 (GA)

Record details

NPI number1467390559
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 23, 2026
Last updated in NPPESApril 5, 2026
Certification dateApril 5, 2026
Mailing addressPo Box 269084, Dept 1102, Oklahoma City, OK 73126-9084

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Ultra Health Providers Ii Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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