JEANNOT JUNIOR JOSEPH
NPI 1174463095
Student in an Organized Health Care Education/Training Program in Gainesville, GA

Active since March 31, 2026PECOS Enrolled
1439 JESSE JEWELL PKWY NE STE 102, GAINESVILLE, GA 30501(770) 219-9446 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeannot Junior Joseph NPPES

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

JEANNOT JUNIOR JOSEPH (NPI 1174463095) is an individual student in an organized health care education/training program in Gainesville, Georgia and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174463095
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEANNOT JUNIOR JOSEPH
Location Address1439 JESSE JEWELL PKWY NE STE 102Gainesville, GA 30501-3806
Mailing Address743 Spring St Ne Ste 710Gainesville, GA 30501-3715 · (770) 219-8730
Sole ProprietorNo
Enumeration DateMarch 31, 2026
NPPES CertifiedMarch 30, 2026
NPI 1174463095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1439 JESSE JEWELL PKWY NE STE 102, Gainesville, GA 30501

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jeannot Junior Joseph 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.

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.

Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
General Practice
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Family Medicine
1439 JESSE JEWELL PKWY NE STE 102
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 Jeannot Joseph's NPI number?

The NPI number for Jeannot Joseph is 1174463095. It was assigned to this individual provider in the NPPES registry on March 31, 2026.

Where is Jeannot Joseph located?

Jeannot Joseph practices at 1439 Jesse Jewell Pkwy NE Ste 102, Gainesville, GA 30501. The listed phone number is (770) 219-9446.

What is Jeannot Joseph's specialty?

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

Is Jeannot Joseph enrolled in Medicare?

Yes. Jeannot Joseph is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeannot Joseph was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.