Jasper Drug Store at Foothills
NPI 1104083450 · Community/Retail Pharmacy · Marble Hill, GA
Jasper Drug Store at Foothills is a Community/Retail Pharmacy organization in Marble Hill, GA (NPI 1104083450).
Provider details
- NPI number
- 1104083450
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Lee Dunn, President(706) 692-5910
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
102 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 65 | $30 |
| Admn Sarscov2 Vacc 1 Dose90480 | 37 | $41 |
Typical Medicare-allowed amounts for these services range $30–$41 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Jasper Drug Store at Foothills
Registry dates
- Enumerated
- 2008-05-22
- Last updated
- 2013-04-10
Frequently asked questions
- What is Jasper Drug Store at Foothills's NPI number?
- Jasper Drug Store at Foothills's National Provider Identifier (NPI) is 1104083450, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jasper Drug Store at Foothills?
- Jasper Drug Store at Foothills is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Jasper Drug Store at Foothills located?
- Jasper Drug Store at Foothills's practice location on file with NPPES is 80 Foothills Pkwy, Marble Hill, GA 30148-2255.
- What is Jasper Drug Store at Foothills's phone number?
- The practice phone number listed in the NPPES registry for Jasper Drug Store at Foothills is (770) 893-3784.
- Who is the authorized official for Jasper Drug Store at Foothills?
- The authorized official listed on Jasper Drug Store at Foothills's NPPES record is Lee Dunn, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jasper Drug Store at Foothills's NPI active?
- Yes — Jasper Drug Store at Foothills's NPI (1104083450) is active in the NPPES registry as of the last update on 2013-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.