JACQUELYN NICOLE MCDOWELL (NPI# 1326373820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326373820 |
| Entity Type | Individual |
| Full Name | JACQUELYN NICOLE MCDOWELL |
| Credential | CPNP |
| Practice Address |
4000 Shakerag Hl Suite 201 Peachtree City GA 30269-4047 |
| Practice Telephone | 7704867111 |
| Practice Fax Number | 7704867131 |
| Mailing Telephone | 7704867111 |
| Mailing Fax Number | 7704867131 |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2012-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN177697 NP | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 208812066A | 05 |
| Street Address |
4000 SHAKERAG HL SUITE 201 |
| City | PEACHTREE CITY |
| State | GA |
| Zip Code | 30269-4047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407819204 | Lisa M. Mcmath | Specialist | 4000 Shakerag Hl, Suite 201, Peachtree City, GA 30269-4047 | 2006-04-11 |
| 1578926374 | Rebecca Geller | Nurse Practitioner | 4000 Shakerag Hl, Suite 201, Peachtree City, GA 30269-4047 | 2016-03-30 |
| 1902281132 | Jeffrey Lance | Nurse Practitioner | 4000 Shakerag Hl, Suite 301, Peachtree City, GA 30269-4047 | 2015-07-29 |
| 1376952234 | Allergy Sinus and Cough Center of Georgia, Inc | Pediatrics | 4000 Shakerag Hl, Suite 300, Peachtree City, GA 30269-4047 | 2014-08-05 |
| 1689002941 | Drayer Physical Therapy Georgia LLC | Occupational Therapist | 4000 Shakerag Hl, Suite 100, Peachtree City, GA 30269-4047 | 2013-10-24 |
| 1104136514 | Drayer Physical Therapy Institute of Ky Pllc | Physical Therapist | 4000 Shakerag Hl, Ste 100, Peachtree City, GA 30269-4047 | 2010-10-19 |
| 1376858555 | Renee S King | Nurse Practitioner | 4000 Shakerag Hl, 301, Peachtree City, GA 30269-4047 | 2010-08-12 |
| 1457665234 | Newnan Lung and Sleep Specialists, P.C. | Internal Medicine | 4000 Shakerag Hl, Suite 302, Peachtree City, GA 30269-4047 | 2010-08-04 |
| 1912211129 | Piedmont Medical Care Corporation | Nurse Practitioner | 4000 Shakerag Hl, Suite 301, Peachtree City, GA 30269-4047 | 2010-07-29 |
| 1538326707 | Lisa Macoy | Nurse Practitioner | 4000 Shakerag Hl, Suite 201, Peachtree City, GA 30269-4047 | 2008-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992772 | Brian Voyles | Pharmacist | 130 Peachtree East Ct, Ste #4, Peachtree City, GA 30269 | 2020-08-13 |
| 1871133066 | Imani Scott | Physical Therapist | 1280 Hwy 74 S Ste 210, Peachtree City, GA 30269 | 2020-01-15 |
| 1477191898 | Sandra Jo Aletraris | Counselor | 105 Camp Creek Trail, Peachtree City, GA 30269 | 2019-12-16 |
| 1295372696 | Jovon Erika Caldwell Taylor | Nurse Practitioner | 125 Governors Square, Suite B, Peachtree City, GA 30269 | 2019-12-04 |
| 1376191106 | Ryan Goldfine Dpm LLC | Podiatrist | 3451 Ernest W Barrett Pkwy Suite 170, Mariettta, GA 30269 | 2019-08-26 |
| 1740834092 | Shenitta Guyton | Psychologist | 619 Grecken Grn, Peachtree City, GA 30269 | 2019-07-25 |
| 1063971463 | Sarah Elizabeth Epps | Speech-Language Pathologist | 156 Peachtree East #149, Peachtree City, GA 30269 | 2019-03-15 |
| 1689139362 | Resiliency Behavioral Health Services LLC | Counselor | 145 Govenors Square, Ste A, Fayetteville, GA 30269 | 2019-02-06 |
| 1790256931 | Change of Life Companion Homecare LLC | Nurse Anesthetist, Certified Registered | 401 Topaz Trail, Peachtree City, Fayetteville, GA 30269 | 2018-12-16 |
| 1447753686 | Kelli M Shelton | Counselor | 145 A Governor's Sq., Peachtree City, GA 30269 | 2018-03-14 |
| Find all providers in zip 30269 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144663360 | Erin E Norton- Cook | Nurse Practitioner | 103 Cornflower Ct, Peachtree City, GA 30269-2220 | 2013-04-08 |
| 1689188450 | Virginia Davidson | Nurse Practitioner | 12 Eastbrook Bnd, Peachtree City, GA 30269-1530 | 2017-11-30 |
| 1578926374 | Rebecca Geller | Nurse Practitioner | 4000 Shakerag Hl, Suite 201, Peachtree City, GA 30269-4047 | 2016-03-30 |
| 1962883090 | Holly Christine Smith | Nurse Practitioner | 12 Eastbrook Bnd, Peachtree City, GA 30269-1530 | 2015-06-15 |
| 1639489180 | Shaquita Estes | Nurse Practitioner | 12 Eastbrook Bnd, Peachtree City, GA 30269-1530 | 2010-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565811 | Rebecca Danielle Wegman | Nurse Practitioner | 5445 Meridian Mark Rd Ste 380, Atlanta, GA 30342-4755 | 2020-10-09 |
| 1629675657 | Casey Cullins | Nurse Practitioner | 980 Johnson Fy Rd Ne Ste 680, Atlanta, GA 30342-1608 | 2020-10-02 |
| 1336755289 | Taylor Bishop | Nurse Practitioner | 51 Hidden Lake Ct, Savannah, GA 31419-1664 | 2020-09-16 |
| 1942815717 | Valerie Renee' Grenald | Nurse Practitioner | Augusta University Health, Augusta, GA 30912-0001 | 2020-09-09 |
| 1538798095 | Brittany Nicole Heitkamp | Nurse Practitioner | 5461 Meridian Mark Rd Ste 540, Atlanta, GA 30342-3283 | 2020-04-06 |
| 1629606421 | Anna Elizabeth Patton | Nurse Practitioner | 12 Sammy Mcghee Blvd Ste 102, Jasper, GA 30143-7712 | 2020-03-29 |
| 1093342131 | Lindsay Pare | Nurse Practitioner | 2225 Twin Lakes Dr, Atlanta, GA 30339-4123 | 2020-03-26 |
| 1215564976 | Stephanie Laurel Toole | Nurse Practitioner | 625 Big Shanty Rd Nw, Kennesaw, GA 30144-3646 | 2020-03-24 |
| 1740816487 | Aleksa Rozman | Nurse Practitioner | 1121 Johnson Ferry Rd Ste 220, Marietta, GA 30068-2763 | 2020-03-13 |
| 1912530866 | Rebecca L Brigola | Nurse Practitioner | 4120 Five Forks Trickum Rd Sw Ste 102, Lilburn, GA 30047-8975 | 2020-02-19 |
| Find all providers with the same taxonomy | ||||
| City | PEACHTREE CITY |
| Zip Code | 30269 |
Please comment or provide details below to improve the information on JACQUELYN NICOLE MCDOWELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.