JACOB LEEDEKERKEN
NPI 1003312067
Emergency Medicine in Gainesville, GA

Active since March 30, 2018PECOS EnrolledAccepts Medicare Assignment
743 SPRING ST NE, GAINESVILLE, GA 30501(770) 219-1200 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 10, 2025, Mar 30, 2018 (2 updates tracked since 2018).

About Jacob Leedekerken NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB LEEDEKERKEN (NPI 1003312067) is an individual emergency medicine provider in Gainesville, Georgia, licensed in North Carolina (238485) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of George Washington University School Of Medicine (2018).

NPPES Registry Identity

NPI1003312067
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJACOB LEEDEKERKEN
Location Address743 SPRING ST NEGainesville, GA 30501-3715
Mailing Address743 Spring St NeGainesville, GA 30501-3715
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2018
Enumeration DateMarch 30, 2018
Last NPPES UpdateApril 10, 20252 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
NPI 1003312067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NC · 238485
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

743 SPRING ST NE, Gainesville, GA 30501

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacob Leedekerken is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486901816
PECOS Enrollment IDI20210714000693, I20241227001924
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
361 services357 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
172 services169 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
125 services122 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
66 services66 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Northeast Georgia Medical Center Lumpkin

Acute Care Hospitals · Dahlonega, GA
OwnershipVoluntary non-profit - Other
CMS Certification Number110237
Location495 Highway 400 NorthDahlonega, GA 30533 · Lumpkin County
Emergency services

Singing River Gulfport

Acute Care Hospitals · Gulfport, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250123
Location15200 Community RoadGulfport, MS 39503 · Harrison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
743 SPRING ST NE
GAINESVILLE, GA 30501
Nurse Practitioner (Gerontology)
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Physician Assistant (Surgical)
743 SPRING ST NE
GAINESVILLE, GA 30501
Anesthesiologist Assistant
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Anesthesiology (Critical Care Medicine)
743 SPRING ST NE
GAINESVILLE, GA 30501
Anesthesiology
743 SPRING ST NE
GAINESVILLE, GA 30501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Leedekerken's NPI number?

The NPI number for Jacob Leedekerken is 1003312067. It was assigned to this individual provider in the NPPES registry on March 30, 2018.

Where is Jacob Leedekerken located?

Jacob Leedekerken practices at 743 Spring St NE, Gainesville, GA 30501. The listed phone number is (770) 219-1200.

What is Jacob Leedekerken's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jacob Leedekerken enrolled in Medicare?

Yes. Jacob Leedekerken is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacob Leedekerken accept?

Health plans from Alliant Health Plans, Inc. list Jacob Leedekerken as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacob Leedekerken affiliated with any hospitals?

According to CMS data, Jacob Leedekerken is affiliated with Northeast Georgia Medical Center, Inc, Northeast Georgia Medical Center Lumpkin and Singing River Gulfport.

When was this NPI record last updated?

The NPPES record for Jacob Leedekerken was last updated on April 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.