JAYNE N ANDRADE (DNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1467850578

JAYNE N ANDRADE (DNP) is a healthcare provider. based in Lithonia, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP. They hold a License No. RN177136 (GA). The NPI Number for JAYNE N ANDRADE (DNP) is 1467850578

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JAYNE N ANDRADE (DNP)
NPI
1467850578
Phone
(770) 322-2777
Address
5440 Hillandale Dr
Enumeration Date
5 December 2014
Last Update Date
21 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7706033685
Graduation Year
2014 (12 years ago)
PAC ID
4789992553
Group Practice PAC ID
6204829013
Professional Enrollment ID
I20150928001225
Address ID
GA302362500JO2400XPKWY400
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
SOAP Endpoint
https://luminello.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

9,658 NURSE PRACTITIONER in GA

Provider Addresses for JAYNE N ANDRADE (DNP)

  • 5440 Hillandale Dr

    Kaiser Permanente

    Lithonia, GA 300584865

    Phone: (770) 322-2777

    Type: Location

  • 3495 PIEDMONT RD NE

    NINE PIEDMONT CENTER

    ATLANTA, GA 303051717

    Phone: (404) 364-7070

    Type: Mailing

  • 5440 HILLANDALE DR

    KAISER PERMANENTE

    LITHONIA, GA 300584865

    Phone: (770) 322-2777

    Type: Location

  • 3495 PIEDMONT ROAD, NE

    NINE PIEDMONT CENTER

    ATLANTA, GA 30305

    Phone: (404) 364-7070

    Type: Mailing

  • 5440 HILLANDALE DRIVE

    KAISER PERMANENTE

    LITHONIA, GA 30058

    Phone: (770) 322-2777

    Type: Location

  • 5200 DALLAS HWY STE 200-193

    POWDER SPRINGS, GA 301276318

    Phone: (404) 282-8530

    Type: Mailing

  • 707 WHITLOCK AVE SW STE A40

    MARIETTA, GA 300644654

    Phone: (404) 282-8530

    Fax: (404) 282-8540

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $515.

Total Amount is formed as General ($515) + Research ($0) + Ownership ($0) = $515.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($311).

Total Amount

$515

General + Research + Ownership

Payments

6

Total payment records

General Amount

$515

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-09-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150928001225INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30058)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204829013View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to JAYNE N ANDRADE (DNP)?
NPI 1467850578 is assigned to JAYNE N ANDRADE (DNP) under the national enumeration system.
Is JAYNE N ANDRADE (DNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize JAYNE N ANDRADE (DNP)'s specialty in plain language?
Clinically, the directory lists JAYNE N ANDRADE (DNP) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does JAYNE N ANDRADE (DNP) practice in Georgia?
You will see Lithonia, Georgia on file for JAYNE N ANDRADE (DNP) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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