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JESSICA LORI RADCHUK DO
NPI 1386495679
Student in an Organized Health Care Education/Training Program in Gainesville, GA

Active since March 27, 2024PECOS Enrolled
1439 JESSE JEWELL PKWY NE STE 102, GAINESVILLE, GA 30501(770) 219-9445(770) 219-9446 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Lori Radchuk Do NPPES

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

JESSICA LORI RADCHUK DO (NPI 1386495679) is an individual student in an organized health care education/training program in Gainesville, Georgia and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386495679
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA LORI RADCHUKCredential: DO
Location Address1439 JESSE JEWELL PKWY NE STE 102Gainesville, GA 30501-3806
Mailing Address743 Spring St Ne Ste 710Gainesville, GA 30501-3715 · (770) 219-8730
Phone(770) 219-9445
Fax(770) 219-9446
Sole ProprietorNo
Enumeration DateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
✔ NPI 1386495679 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.
1439 JESSE JEWELL PKWY NE STE 102, Gainesville, GA 30501
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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)

Jessica Lori Radchuk Do 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.

INDRANIE RAMSAROOP
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Hall County (770) 219-9675
LINDA NGUYEN ROBLES MD
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Hall County (770) 219-9445
DIAMOND RICHARDSON MD
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Hall County (770) 219-9445
JESSICA SHAY HAYS DO
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Hall County (770) 219-9445
RYAN ANTHONY ALMODOVAR DO
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Hall County (770) 219-9445
FELINA THOMAS
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Hall County (770) 219-9446
DR. JOTRINEESHA WALTON DO
General Practice
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Hall County (770) 219-9445
WILLIAM K BOSTOCK DO
Family Medicine
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Hall County (770) 219-9445

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 Jessica Radchuk's NPI number?

The NPI number for Jessica Radchuk is 1386495679. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Where is Jessica Radchuk located?

Jessica Radchuk practices at 1439 Jesse Jewell Pkwy NE Ste 102, Gainesville, GA 30501. The listed phone number is (770) 219-9445.

What is Jessica Radchuk's specialty?

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

Is Jessica Radchuk enrolled in Medicare?

Yes. Jessica Radchuk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Radchuk was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.