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DR. JACQUELYNE R BODEA PMHNP-BC, CNM
NPI 1225100118
Nurse Practitioner - Psychiatric/Mental Health in Woodstock, GA

Active since November 15, 2006PECOS Enrolled
100 STONEFOREST DR STE 230, WOODSTOCK, GA 30189(470) 552-8470 Get Directions Write a Review

NPPES record last updated: January 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 29, 2022, Jul 31, 2020, Feb 26, 2016 (3 updates tracked since 2016).

About Dr. Jacquelyne R Bodea Pmhnp-bc, Cnm NPPES

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

DR. JACQUELYNE R BODEA PMHNP-BC, CNM (NPI 1225100118) is an individual psychiatric/mental health provider in Woodstock, Georgia, licensed in Georgia (RN102394) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225100118
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. JACQUELYNE R BODEACredential: PMHNP-BC, CNM
Location Address100 STONEFOREST DR STE 230Woodstock, GA 30189-4903
Mailing Address10025 Investment Dr Ste 100Knoxville, TN 37932-2665 · (865) 606-6110 · Fax (865) 312-6442
Phone(470) 552-8470
Sole ProprietorNo
Enumeration DateNovember 15, 2006
Last NPPES UpdateJanuary 29, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2022
✔ NPI 1225100118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN102394
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License RN102394 (GA)
100 STONEFOREST DR STE 230, Woodstock, GA 30189
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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)

Dr. Jacquelyne R Bodea Pmhnp-bc, Cnm 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30189 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 11

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

JASON EDWARD WATTS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
100 STONEFOREST DR STE 230
WOODSTOCK, GA 30189
Cherokee County (470) 552-8470
GENEVIEVE BRIENNE ELLIS LPC
Counselor (Professional)
100 STONEFOREST DR STE 230
WOODSTOCK, GA 30189
Cherokee County (470) 552-8470
MEAH NICOLE MCCRAY PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
100 STONEFOREST DR STE 230
WOODSTOCK, GA 30189
Cherokee County (470) 552-8470
ANDREW SCOTT DANIEL PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
100 STONEFOREST DR STE 230
WOODSTOCK, GA 30189
Cherokee County (470) 552-8470
JONATHAN HEATH RAUGHTON LCSW
Social Worker (Clinical)
100 STONEFOREST DR STE 230
WOODSTOCK, GA 30189
Cherokee County (470) 552-8470
MS. REBECCA JOHNSON LPC, NCC
Counselor (Professional)
100 STONEFOREST DR STE 230
WOODSTOCK, GA 30189
Cherokee County (470) 552-8470
ABBIE NICOLE MEDICUS LPC
Counselor (Professional)
100 STONEFOREST DR STE 230
WOODSTOCK, GA 30189
Cherokee County (470) 552-8470
AMBER LURANA THOMAS LPC
Counselor (Professional)
100 STONEFOREST DR STE 230
WOODSTOCK, GA 30189
Cherokee County (678) 314-0831

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 Jacquelyne Bodea's NPI number?

The NPI number for Jacquelyne Bodea is 1225100118. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Jacquelyne Bodea located?

Jacquelyne Bodea practices at 100 Stoneforest Dr Ste 230, Woodstock, GA 30189. The listed phone number is (470) 552-8470.

What is Jacquelyne Bodea's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jacquelyne Bodea enrolled in Medicare?

Yes. Jacquelyne Bodea is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacquelyne Bodea was last updated on January 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.