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JENSINE TOMI CHEMMALAKUZHY NP
NPI 1497350920
Nurse Practitioner in Greensboro, GA

Active since December 02, 2020PECOS EnrolledAccepts Medicare Assignment
90.8/100
CMS Quality Rating
1010 PARK DR, GREENSBORO, GA 30642(706) 227-7850 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2021, Feb 17, 2021, Dec 2, 2020 (3 updates tracked since 2020).

About Jensine Tomi Chemmalakuzhy Np NPPES

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

JENSINE TOMI CHEMMALAKUZHY NP (NPI 1497350920) is an individual nurse practitioner in Greensboro, Georgia, licensed in Georgia (RN252456) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with Piedmont Rockdale Hospital, and is a graduate of Emory University School Of Medicine (2020).

NPPES Registry Identity

NPI1497350920
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJENSINE TOMI CHEMMALAKUZHYCredential: NP
Location Address1010 PARK DRGreensboro, GA 30642-3466
Mailing AddressPo Box 116116Atlanta, GA 30368-6116
Phone(706) 227-7850
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2020
Enumeration DateDecember 2, 2020
Last NPPES UpdateMarch 8, 20213 updates tracked since enumeration
NPPES CertifiedMarch 8, 2021
✔ NPI 1497350920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN252456
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN252456 (GA)
1010 PARK DR, Greensboro, GA 30642
Open in Google Maps ↗

Other Names 1

Former Name (1)Jensine Illikattil Tomi Rn

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

Jensine Tomi Chemmalakuzhy 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 ID1951716216
PECOS Enrollment IDI20210218001149
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Rockdale Hospital

Acute Care Hospitals · Conyers, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110091
Location1412 Milstead Avenue, NEConyers, GA 30012 · Rockdale County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30642 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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.

90.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities20

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 Jensine Chemmalakuzhy's NPI number?

The NPI number for Jensine Chemmalakuzhy is 1497350920. It was assigned to this individual provider in the NPPES registry on December 2, 2020. The provider is also known as Jensine Illikattil Tomi Rn.

Where is Jensine Chemmalakuzhy located?

Jensine Chemmalakuzhy practices at 1010 Park Dr, Greensboro, GA 30642. The listed phone number is (706) 227-7850.

What is Jensine Chemmalakuzhy's specialty?

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

Is Jensine Chemmalakuzhy enrolled in Medicare?

Yes. Jensine Chemmalakuzhy 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 Jensine Chemmalakuzhy affiliated with any hospitals?

According to CMS data, Jensine Chemmalakuzhy is affiliated with Piedmont Rockdale Hospital.

When was this NPI record last updated?

The NPPES record for Jensine Chemmalakuzhy was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.