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JEANNEL TAN MICLAT
NPI 1023900719
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since July 17, 2025PECOS Enrolled
2518 COSMOS DR NE, ATLANTA, GA 30345(858) 722-9742 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeannel Tan Miclat NPPES

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

JEANNEL TAN MICLAT (NPI 1023900719) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023900719
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJEANNEL TAN MICLAT
Location Address2518 COSMOS DR NEAtlanta, GA 30345-1304
Mailing Address2518 Cosmos Dr NeAtlanta, GA 30345-1304 · (858) 722-9742
Phone(858) 722-9742
Sole ProprietorYes
Enumeration DateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
✔ NPI 1023900719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2518 COSMOS DR NE, Atlanta, GA 30345
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeannel Tan Miclat is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Jeannel Miclat's NPI number?

The NPI number for Jeannel Miclat is 1023900719. It was assigned to this individual provider in the NPPES registry on July 17, 2025.

Where is Jeannel Miclat located?

Jeannel Miclat practices at 2518 Cosmos Dr NE, Atlanta, GA 30345. The listed phone number is (858) 722-9742.

What is Jeannel Miclat's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jeannel Miclat enrolled in Medicare?

Yes. Jeannel Miclat is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeannel Miclat was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.