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JULIA PRAWL CEGLENSKI MD
NPI 1073263604
Family Medicine in Jasper, GA

Active since March 26, 2022PECOS Enrolled
175 SAMARITAN DR, JASPER, GA 30143(706) 253-4633 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 12, 2025, Jun 8, 2022 (2 updates tracked since 2022).

About Julia Prawl Ceglenski Md NPPES

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

JULIA PRAWL CEGLENSKI MD (NPI 1073263604) is an individual family medicine provider in Jasper, Georgia, licensed in Georgia (100224) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and is a graduate of Saint Louis University School Of Medicine (2022).

NPPES Registry Identity

NPI1073263604
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJULIA PRAWL CEGLENSKICredential: MD
Location Address175 SAMARITAN DRJasper, GA 30143-1964
Mailing Address175 Samaritan DrJasper, GA 30143-1964 · (706) 253-4633
Phone(706) 253-4633
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2022
Enumeration DateMarch 26, 2022
Last NPPES UpdateAugust 12, 20252 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
✔ NPI 1073263604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 100224
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
175 SAMARITAN DR, Jasper, GA 30143
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julia Prawl Ceglenski Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547640138
PECOS Enrollment IDI20260523000299
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.

Medicare Billing Reassignment

Medicare enrollment records show Julia Ceglenski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Good Samaritan Health & Wellness Center Inc.
Same address
Federally Qualified Health Center (FQHC)
175 SAMARITAN DR
Jasper, GA 30143
  • Reassigned Medicare billing, Georgia enrollment
  • 7 clinicians in this Medicare group
NPI 1407174675 (706) 253-4673

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30143 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 14

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

DARA CARROLL
Nurse Practitioner (Family)
175 SAMARITAN DR
JASPER, GA 30143
Pickens County (706) 253-4633
ISMARIE MABRY LCSW
Social Worker (Clinical)
175 SAMARITAN DR
JASPER, GA 30143
Pickens County (706) 253-4633
HALEY COOK APRN, FNP
Family Medicine
175 SAMARITAN DR
JASPER, GA 30143
Pickens County (706) 253-4673
GOOD SAMARITAN HEALTH & WELLNESS CENTER INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
175 SAMARITAN DR
JASPER, GA 30143
Pickens County (706) 253-4673
JULIE DELOACH EVERETT LCSW
Social Worker (Clinical)
175 SAMARITAN DR
JASPER, GA 30143
Pickens County (706) 253-4673
WALTER KENNETH AUSTIN JR. MD
Clinic/Center (Federally Qualified Health Center (FQHC))
175 SAMARITAN DR
JASPER, GA 30143
Pickens County (706) 253-4633
MISS CHIUNG FENG HSU DMD
Dentist
175 SAMARITAN DR
JASPER, GA 30143
Pickens County (706) 253-4633
MARVIN LANGFORD PA-C
Physician Assistant (Medical)
175 SAMARITAN DR
JASPER, GA 30143
Pickens County (706) 253-4673

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 Julia Ceglenski's NPI number?

The NPI number for Julia Ceglenski is 1073263604. It was assigned to this individual provider in the NPPES registry on March 26, 2022.

Where is Julia Ceglenski located?

Julia Ceglenski practices at 175 Samaritan Dr, Jasper, GA 30143. The listed phone number is (706) 253-4633.

What is Julia Ceglenski's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Julia Ceglenski enrolled in Medicare?

Yes. Julia Ceglenski is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Julia Ceglenski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julia Ceglenski reassigns Medicare benefits to Good Samaritan Health & Wellness Center Inc. (Jasper, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Julia Ceglenski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Julia Ceglenski accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Julia Ceglenski 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 Julia Ceglenski affiliated with any hospitals?

According to CMS data, Julia Ceglenski is affiliated with Northside Hospital Cherokee.

When was this NPI record last updated?

The NPPES record for Julia Ceglenski was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.