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JACLYN BERRY ADAIR NP
NPI 1447079082
Nurse Practitioner in Suwanee, GA

Active since October 09, 2024PECOS EnrolledAccepts Medicare Assignment
3370 PADDOCKS PKWY, SUWANEE, GA 30024(770) 814-8222(678) 205-5111 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 1, 2026, Jun 17, 2025, Oct 9, 2024 (3 updates tracked since 2024).

About Jaclyn Berry Adair Np NPPES

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

JACLYN BERRY ADAIR NP (NPI 1447079082) is an individual nurse practitioner in Suwanee, Georgia, licensed in Georgia (RN322183) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1447079082
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJACLYN BERRY ADAIRCredential: NP
Location Address3370 PADDOCKS PKWYSuwanee, GA 30024-9119
Mailing AddressPo Box 23329New York, NY 10087-4329
Phone(770) 814-8222
Fax(678) 205-5111
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 9, 2024
Last NPPES UpdateMay 1, 20263 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
✔ NPI 1447079082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN322183
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.
3370 PADDOCKS PKWY, Suwanee, GA 30024
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Other Names 1

Former Name (1)Jaclyn Lee Berry Np

Secondary Practice Locations 4

Location 13850 Pleasant Hill RdDuluth, GA 30096-4807 · Phone (770) 814-8222 · Fax (678) 205-5111
Location 23331 Hamilton Mill Rd Ste 1106Buford, GA 30519-7226 · Phone (770) 814-8222 · Fax (678) 205-5111
Location 31230 Bald Ridge Marina Rd Ste 300Cumming, GA 30041-7859 · Phone (770) 814-8222 · Fax (678) 205-5111
Location 41519 Johnson Ferry Rd Ste 175Marietta, GA 30062-6411 · Phone (770) 814-8222 · Fax (678) 205-5111

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jaclyn Berry Adair 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 ID1759896327
PECOS Enrollment IDI20250714000970
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 Jaclyn Adair reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Atlanta Dermatology, LLC
5.6 mi
Dermatology
3850 PLEASANT HILL RD
Duluth, GA 30096
  • Reassigned Medicare billing, Georgia enrollment
  • 7 clinicians in this Medicare group
NPI 1427040799 (770) 814-8222

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30024 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 2

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

MONICA SOHANI PA-C
Physician Assistant
3370 PADDOCKS PKWY
SUWANEE, GA 30024
Gwinnett County (770) 814-8222
CHERYL DAWN TIOAQUEN PA
Physician Assistant
3370 PADDOCKS PKWY
SUWANEE, GA 30024
Gwinnett County (770) 814-2222

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 Jaclyn Adair's NPI number?

The NPI number for Jaclyn Adair is 1447079082. It was assigned to this individual provider in the NPPES registry on October 9, 2024. The provider is also known as Jaclyn Lee Berry Np.

Where is Jaclyn Adair located?

Jaclyn Adair practices at 3370 Paddocks Pkwy, Suwanee, GA 30024. The listed phone number is (770) 814-8222.

What is Jaclyn Adair's specialty?

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

Is Jaclyn Adair enrolled in Medicare?

Yes. Jaclyn Adair is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jaclyn Adair's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Adair reassigns Medicare benefits to North Atlanta Dermatology, LLC (Duluth, 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 Jaclyn Adair's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jaclyn Adair was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.