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MR. JACK LANSDOWNE
NPI 1467298315
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since July 01, 2024PECOS Enrolled
1274 AVONDALE AVE SE, ATLANTA, GA 30312(706) 267-1176 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jack Lansdowne NPPES

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

MR. JACK LANSDOWNE (NPI 1467298315) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467298315
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. JACK LANSDOWNE
Location Address1274 AVONDALE AVE SEAtlanta, GA 30312-3846
Mailing Address1274 Avondale Ave SeAtlanta, GA 30312-3846 · (706) 267-1176
Phone(706) 267-1176
Sole ProprietorYes
Enumeration DateJuly 1, 2024
NPPES CertifiedJuly 1, 2024
✔ NPI 1467298315 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.
1274 AVONDALE AVE SE, Atlanta, GA 30312
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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)

Mr. Jack Lansdowne 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.

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 Jack Lansdowne's NPI number?

The NPI number for Jack Lansdowne is 1467298315. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Where is Jack Lansdowne located?

Jack Lansdowne practices at 1274 Avondale Ave SE, Atlanta, GA 30312. The listed phone number is (706) 267-1176.

What is Jack Lansdowne's specialty?

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

Is Jack Lansdowne enrolled in Medicare?

Yes. Jack Lansdowne is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Lansdowne was last updated on July 1, 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.