JAKE NICHOLAS MACDONALD
NPI 1629837992
Student in an Organized Health Care Education/Training Program in Atlanta, GA
About Jake Nicholas Macdonald NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAKE NICHOLAS MACDONALD (NPI 1629837992) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.
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 (PECOS)
Jake Nicholas Macdonald is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
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 Jake Macdonald's NPI number?
The NPI number for Jake Macdonald is 1629837992. It was assigned to this individual provider in the NPPES registry on March 18, 2024.
Where is Jake Macdonald located?
Jake Macdonald practices at 1364 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 778-7777.
What is Jake Macdonald's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jake Macdonald enrolled in Medicare?
Yes. Jake Macdonald is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jake Macdonald was last updated on April 16, 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.
# Jake Nicholas Macdonald · NPI 1629837992
Student in an Organized Health Care Education/Training Program provider in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since March 18, 2024.
## Identity
- **NPI:** 1629837992 (Entity type: Individual)
- **Enumerated:** March 18, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1364 CLIFTON RD NE, Atlanta, GA 30322-1059
- **Phone:** (404) 778-7777
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1629837992) · Data from the CMS NPPES public registry.