JACQUIECE LIDDELL AGACNP
NPI 1467988543
Nurse Practitioner - Acute Care in Ellenwood, GA
About Jacquiece Liddell Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUIECE LIDDELL AGACNP (NPI 1467988543) is an individual acute care provider in Ellenwood, Georgia, licensed in Georgia (RN206975) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Jacquiece Liddell Agacnp 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside Hospital
Acute Care Hospitals · Atlanta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30294 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Jacquiece Liddell's NPI number?
The NPI number for Jacquiece Liddell is 1467988543. It was assigned to this individual provider in the NPPES registry on May 10, 2017.
Where is Jacquiece Liddell located?
Jacquiece Liddell practices at 4357 Boxwood Trl, Ellenwood, GA 30294. The listed phone number is (678) 517-7897.
What is Jacquiece Liddell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jacquiece Liddell enrolled in Medicare?
Yes. Jacquiece Liddell 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.
Is Jacquiece Liddell affiliated with any hospitals?
According to CMS data, Jacquiece Liddell is affiliated with Northside Hospital.
When was this NPI record last updated?
The NPPES record for Jacquiece Liddell was last updated on November 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
