JESSICA NICOLE BREAUX NP
NPI 1205445426
Nurse Practitioner in Fayetteville, GA

Q: What is Jessica Breaux's NPI number?

The NPI number for Jessica Breaux is 1205445426. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Q: What is Jessica Breaux's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Breaux was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since July 23, 2020PECOS EnrolledAccepts Medicare Assignment

1267 HIGHWAY 54 W STE 2200, FAYETTEVILLE, GA 30214(770) 716-0051 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2025, Jul 23, 2020 (2 updates tracked since 2020).

On this page

About Jessica Nicole Breaux Np NPPES

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

JESSICA NICOLE BREAUX NP (NPI 1205445426) is an individual nurse practitioner in Fayetteville, Georgia, licensed in Georgia (APRN-NP239680) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and maintains a secondary practice location in Newnan.

NPPES Registry Identity

NPI1205445426

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJESSICA NICOLE BREAUXCredential: NP

Location Address1267 HIGHWAY 54 W STE 2200Fayetteville, GA 30214-2110

Mailing Address195 Coweta Lake RdNewnan, GA 30265-1815 · (404) 226-4836

Phone(770) 716-0051

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 23, 2020

Last NPPES UpdateSeptember 16, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2025

✔ NPI 1205445426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · APRN-NP239680

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN239680 (GA)

1267 HIGHWAY 54 W STE 2200, Fayetteville, GA 30214

Open in Google Maps ↗

Secondary Practice Location 1

Location 159 Hospital RdNewnan, GA 30263-1209 · Phone (678) 423-4610

Other Identifiers 1

Medicaid239680GA

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

Jessica Nicole Breaux Np 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 ID9234620089

PECOS Enrollment IDI20251119001856

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.

Hospital Affiliations CMS Care Compare

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

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110083

Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

BRITTNEY SHAY PASKO FNP-C

Nurse Practitioner (Family)