DR. JONATHAN MARSHALL FLACKER M.D.
NPI 1568402162
Internal Medicine - Geriatric Medicine in Morrow, GA
About Dr. Jonathan Marshall Flacker M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JONATHAN MARSHALL FLACKER M.D. (NPI 1568402162) is an individual geriatric medicine provider in Morrow, Georgia, licensed in Georgia (048148) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jonathan Marshall Flacker M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jonathan Flacker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami Gardens, FL 33169
- Reassigned Medicare billing, Georgia enrollment
- 65 clinicians in this Medicare group
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 30260 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jonathan Flacker's NPI number?
The NPI number for Jonathan Flacker is 1568402162. It was assigned to this individual provider in the NPPES registry on June 8, 2006.
Where is Jonathan Flacker located?
Jonathan Flacker practices at 1331 Mount Zion Rd, Morrow, GA 30260. The listed phone number is (770) 629-3217.
What is Jonathan Flacker's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.
Is Jonathan Flacker enrolled in Medicare?
Yes. Jonathan Flacker is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jonathan Flacker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Flacker reassigns Medicare benefits to Pmr Georgia Holding, LLC (Miami Gardens, FL). 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 Jonathan Flacker'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 Jonathan Flacker was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Jonathan Marshall Flacker, M.D. · NPI 1568402162
Geriatric Medicine physician in Morrow, Georgia. Individual provider, active in the CMS NPPES registry since June 8, 2006.
## Identity
- **NPI:** 1568402162 (Entity type: Individual)
- **Enumerated:** June 8, 2006
- **Primary specialty:** Internal Medicine - Geriatric Medicine · taxonomy 207RG0300X
- **State license:** 048148 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1331 MOUNT ZION RD, Morrow, GA 30260-2357
- **Phone:** (770) 629-3217
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pmr Georgia Holding, LLC (NPI 1609329630, Miami Gardens, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 29, 2020
- **Other identifiers:** Other 048148 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1568402162) · Data from the CMS NPPES public registry.